Ralph Glen Willis, DMD Valid NPI
Individual provider · General Practice Dentistry · Rock Hill, SC
- NPI
- 1700976727
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 3242 (SC)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-13
- Last updated
- 2011-10-04
Practice location
1144-F India Hook Rd
Rock Hill, SC 29732
(803) 327-4166