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
Fax: (254) 776-0696
Website:

Health care specialties

SpecialtyCodeLicense #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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