Travis William Wille, DDS, MS
NPI #1609993278 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1609993278
- Entity Type
- Individual
- Name
- Travis William Wille, DDS, MS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DDS, MS
- Enumeration Date
- Mar 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 69 LAKE ST N
- Address 2
- SUITE #100
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2513
- Phone
- (651) 464-8065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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