Alan D. Willis, D.D.S.
NPI #1063627982 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1063627982
- Entity Type
- Individual
- Name
- Alan D. Willis, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- D.D.S.
- Enumeration Date
- May 14, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1915 BROADWAY ST
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2980
- Phone
- (618) 242-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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|---|---|
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