Bradley W. Willis,

NPI #1285016154 in Montgomery, Alabama

Provider Information

NPI Number: 1285016154
Entity Type: Organization
Organization Name: Bradley W. Willis,
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 26, 2015
Last Updated: Jun 26, 2015

Practice Location

Address: 8161 SEATON PL STE A
City: Montgomery
State: Alabama
ZIP Code: 36116-7205
Phone: (334) 260-2929

Authorized Official

Name: DR. BRADLEY W WILLIS, D.M.D.
Title: OWNER
Phone: (334) 260-2929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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