Whalio Doctors

NPI 1578554465

Henry Sk Willis, DDS

Practitioner General Practice Dentistry Bonners Ferry, ID

Practice location

Address
6811 Main St Suite a, Bonners Ferry, ID 83805-8649
Phone
(208) 267-6454

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence D-3784 (ID)

Registry record

NPI
1578554465
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Oct 2005
Record last updated
12 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.