Individual
MS. BETH ANN WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDA
Contact information
Practice address
1459 LANEY WALKER BLVD, AD2802, AUGUSTA, GA 30912-0002
(706) 721-2716
(706) 721-1893
Mailing address
530 HENDERSON DR, AUGUSTA, GA 30909-3741
(706) 721-2716
(706) 721-1893
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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