Willis Orthodontics

NPI #1912659368 in Logan, Utah

Provider Information

NPI Number: 1912659368
Entity Type: Organization
Organization Name: Willis Orthodontics
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jan 26, 2022
Last Updated: Feb 25, 2022

Practice Location

Address: 2245 N 400 E ST 103
City: Logan
State: Utah
ZIP Code: 84341
Phone: (435) 753-6776

Authorized Official

Name: DR. CRAIG WILLIS, DDS
Title: ORTHODONTIST
Phone: (435) 753-6776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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