Timothy Gay Willis, DDS

NPI #1225161680 in Yreka, California

Provider Information

NPI Number: 1225161680
Entity Type: Individual
Name: Timothy Gay Willis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 310 EVERGREEN LN
City: Yreka
State: California
ZIP Code: 96097-3203
Phone: (530) 842-5332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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