DR. Matthew Henrichsen Willis, D.D.S
NPI #1861749665 in Creedmoor, North Carolina
Provider Information
- NPI Number
- 1861749665
- Entity Type
- Individual
- Name
- DR. Matthew Henrichsen Willis, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S
- Enumeration Date
- Aug 10, 2012
- Last Updated
- Sep 11, 2015
Practice Location
- Address
- 110 W CHURCH ST
- City
- Creedmoor
- State
- North Carolina
- ZIP Code
- 27522-9747
- Phone
- (919) 528-4004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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