Dr. Avi Willis, DMD, MASt
Dentist, Pediatric Dentistry in Encinitas, CA. Individual provider (NPI-1).
NPI number1942681069
StatusActive
Last updated in NPPESNov 9, 2021
Details
- NPI
- 1942681069
- Entity type
- Individual (NPI-1)
- Name
- Dr. Avi Willis
- Credential
- DMD, MASt
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2015
- Certification date
- Nov 9, 2021
- Last updated
- Nov 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | DDS102334 | CA | Yes |
| 1223P0221X | Dentist, Pediatric Dentistry | DS040383 | PA | |
| 1223P0221X | Dentist, Pediatric Dentistry | 22DI02765200 | NJ |
Practice location
135 Saxony RdEncinitas, CA 92024-3791
Phone 760-634-5437
Mailing address
6155 Radcliffe DrSan Diego, CA 92122-3311
Phone 570-332-0689
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Other Pediatric Dentistry providers in Encinitas, CA
- John Patrick Davis, DDSNPI 1215181045
- Matthew John Davis, DDSNPI 1447403811
- Stephanie Lee Dixon, DDSNPI 1326293374
- Douglas D Warner DDS Ms PCNPI 1013627637
- Brian Hatch, D.M.DNPI 1013170133
- Hydo, Angelopoulos & Miller Dental GroupNPI 1336429612
- Tom D Keller, DDSNPI 1063505329
- Douglas D Warner, D.D.S M.SNPI 1427215656
All 9 Pediatric Dentistry providers in Encinitas · All 2,508 providers in Encinitas
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