Individual provider · Type 1 NPI

Avi Willis, DMD, MAST

Pediatric Dentistry · Encinitas, CA

NPI number 1942681069 Active

Practice location

135 Saxony Rd
Encinitas, CA 92024-3791

Mailing address

6155 Radcliffe Dr
San Diego, CA 92122-3311

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XDS040383 (PA)
Pediatric Dentistry 1223P0221X22DI02765200 (NJ)
Pediatric Dentistry Primary 1223P0221XDDS102334 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1942681069

Avi Willis, DMD, MAST's National Provider Identifier is 1942681069, issued on Jun 15, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Encinitas, CA. The record was last updated on Nov 9, 2021.