DR. Warren Richard Willis, D.M.D

NPI #1568535011 in Emmett, Idaho

Provider Information

NPI Number: 1568535011
Entity Type: Individual
Name: DR. Warren Richard Willis, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D
Enumeration Date: Nov 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 119 N WARDWELL AVE
City: Emmett
State: Idaho
ZIP Code: 83617-3040
Phone: (208) 365-6313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

Provider Name	Specialty	City
Warren Willis Dmd P.c.	Dentist - General Practice	Emmett	AI Deep Dive

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