Tammy L Willis, DMD Valid NPI
Individual provider · Dentist · Bowling Green, KY
- NPI
- 1982797130
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 6011 (KY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-08
Practice location
1146 Kenton Street
Bowling Green, KY 42101
(270) 782-8010