NPI 1962611368
Beth Ann Willard, CDA
Practice location
- Address
- 1459 Laney Walker Blvd Ad2802, Augusta, GA 30912-0002
- Phone
- (706) 721-2716
- Fax
- (706) 721-1893
- Mailing address
- 530 Henderson Dr, Augusta, GA 30909-3741
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1962611368
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 May 2007
- Record last updated
- 8 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.