Terri Lynn Willis, D.M.D

NPI #1417168808 in Cedartown, Georgia

Provider Information

NPI Number: 1417168808
Entity Type: Individual
Name: Terri Lynn Willis, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: May 25, 2007
Last Updated: Oct 6, 2016

Practice Location

Address: 113 PLANTATION AVE
Address 2: SUITE A
City: Cedartown
State: Georgia
ZIP Code: 30125
Phone: (770) 748-2622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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