| Michael K Willis Dmd Pa | |
|
47 Barkley Cir Fort Myers FL 33907-7531 | |
| (239) 936-0181 | |
| (239) 936-0468 |
| Full Name | Michael K Willis Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 47 Barkley Cir, Fort Myers, Florida |
| Authorized Official Name and Position | Michael K Willis (PRESIDENT) |
| Authorized Official Contact | 2399360181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael K Willis Dmd Pa 47 Barkley Cir Fort Myers FL 33907-7531 Ph: (239) 936-0181 | Michael K Willis Dmd Pa 47 Barkley Cir Fort Myers FL 33907-7531 Ph: (239) 936-0181 |
| NPI Number | 1417118381 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417118381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | FL 4738 (Florida) | Primary |
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