| Willis 1 Dentistry Pllc | |
|
1108 N Mechanic St El Campo TX 77437-3030 | |
| (979) 541-5400 | |
| Not Available |
| Full Name | Willis 1 Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1108 N Mechanic St, El Campo, Texas |
| Authorized Official Name and Position | Shaun Willis (OWNER) |
| Authorized Official Contact | 9795415400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willis 1 Dentistry Pllc 1108 N Mechanic St El Campo TX 77437-3030 Ph: (979) 541-5400 | Willis 1 Dentistry Pllc 1108 N Mechanic St El Campo TX 77437-3030 Ph: (979) 541-5400 |
| NPI Number | 1922553759 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 08/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922553759 | NPI | - | NPPES |
| 27076 | Other | TX | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 27076 (Texas) | Primary |
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