DR. Henry Sk Willis IV, D.D.S.
NPI #1578554465 in Bonners Ferry, Idaho
Provider Information
- NPI Number
- 1578554465
- Entity Type
- Individual
- Name
- DR. Henry Sk Willis IV, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 31, 2005
- Last Updated
- Jul 12, 2007
Practice Location
- Address
- 6811 MAIN ST
- Address 2
- SUITE A
- City
- Bonners Ferry
- State
- Idaho
- ZIP Code
- 83805-8649
- Phone
- (208) 267-6454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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