Organization · Type 2 NPI
Bradley W. Willis,
Dental Clinic/Center · Montgomery, AL
NPI number
1285016154
Active
Practice location
8161 Seaton Pl Ste A
Montgomery, AL 36116-7205
Fax (334) 396-7874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 4554 (AL) |
Dental Clinic/Center: Definition to come...
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About NPI 1285016154
Bradley W. Willis,'s National Provider Identifier is 1285016154, issued on Jun 26, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Montgomery, AL. The record was last updated on Jun 26, 2015.