C Michael Willock, Dds, PA

NPI #1538461355 in Chapel Hill, North Carolina

Provider Information

NPI Number: 1538461355
Entity Type: Organization
Organization Name: C Michael Willock, Dds, PA
Primary Specialty: Dentist
Enumeration Date: Nov 30, 2010
Last Updated: Nov 30, 2010

Practice Location

Address: 861 WILLOW DR
Address 2: STE 1
City: Chapel Hill
State: North Carolina
ZIP Code: 27514-7076
Phone: (919) 942-2154

Authorized Official

Name: DR. CONRAD MICHAEL WILLOCK, DDS
Title: PRESIDENT
Phone: (919) 942-2154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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