DR. Kenneth Daniel Willis, DDS

NPI #1457841835 in Gallipolis, Ohio

Provider Information

NPI Number: 1457841835
Entity Type: Individual
Name: DR. Kenneth Daniel Willis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 11, 2018
Last Updated: Aug 25, 2022

Practice Location

Address: 878 JACKSON PIKE
City: Gallipolis
State: Ohio
ZIP Code: 45631-1391
Phone: (740) 446-7806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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