Organization
WILLIS ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG WILLIS DDS (ORTHODONTIST)
(435) 753-6776
Entity
Organization
Contact information
Practice address
2245 N 400 E ST 103, LOGAN, UT 84341
(435) 753-6776
Mailing address
2245 N 400 E ST 103, LOGAN, UT 84341
(435) 753-6776
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
02/25/2022
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