Willis, Todd Bradford
Willis, Todd Bradford is an individual health care provider with primary practice located at 1615 Wooded Acres Drive Suite #F, Waco TX 76710-2863. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Willis, Todd Bradford can be contacted via phone (254) 776-7242.Contact Information
Primary practice address
1615 Wooded Acres Drive Suite #F
Waco TX 76710-2863
Phone: (254) 776-7242
Fax: (254) 776-0696
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 12163 | Texas |
Profile Details
NPI number | 1619084662 |
---|---|
LBN Legal business name | Willis, Todd Bradford |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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