Individual
GORDON L. WILLS, JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
266 S CLEVELAND ST, SUITE 102, MEMPHIS, TN 38104-3533
(901) 274-3514
Mailing address
266 S CLEVELAND ST, SUITE 102, MEMPHIS, TN 38104-3533
(901) 274-3514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS4046
TN
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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