Dr. Paul Richard Willy, Dentist DDS
Dentist in Waterloo, IA. Individual provider (NPI-1).
NPI number1619085701
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619085701
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul Richard Willy
- Credential
- Dentist DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 6925 | IA | Yes |
| 122300000X | Dentist | 3203015 | WI |
Practice location
1950 Plymouth AveWaterloo, IA 50702
Phone 319-291-3908 · Fax 319-291-4077
Mailing address
1950 Plymouth AveWaterloo, IA 50702
Phone 319-291-3908 · Fax 319-291-4077
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All 22 Dentist providers in Waterloo · All 1,968 providers in Waterloo
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