Fred B Willard, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · New Braunfels, TX
- NPI
- 1295958775
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 7367 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-04-11
- Last updated
- 2007-07-08
Practice location
2732 Big Oak
New Braunfels, TX 78132-4713
(830) 625-7322