| Willis Family Dental Pllc | |
|
12903 Tamarack Bend Ln Humble TX 77346-1569 | |
| (617) 771-2784 | |
| Not Available |
| Full Name | Willis Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12903 Tamarack Bend Ln, Humble, Texas |
| Authorized Official Name and Position | Dhaval Thakkar (OWNER) |
| Authorized Official Contact | 6177712784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willis Family Dental Pllc 12903 Tamarack Bend Ln Humble TX 77346-1569 Ph: () - | Willis Family Dental Pllc 12903 Tamarack Bend Ln Humble TX 77346-1569 Ph: (617) 771-2784 |
| NPI Number | 1700286838 |
|---|---|
| Provider Enumeration Date | 08/26/2014 |
| Last Update Date | 08/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700286838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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