James W Willis IV DDS Plc

NPI #1942917240 in Stuarts Draft, Virginia

Provider Information

NPI Number: 1942917240
Entity Type: Organization
Organization Name: James W Willis IV DDS Plc
Primary Specialty: Dentist
Enumeration Date: Nov 4, 2022
Last Updated: Nov 4, 2022

Practice Location

Address: 2927 STUARTS DRAFT HWY STE 105
City: Stuarts Draft
State: Virginia
ZIP Code: 24477-2796
Phone: (540) 414-8423

Authorized Official

Name: JAMES WILLIS, DDS
Title: CEO
Phone: (304) 685-5980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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