DALE WILLOUGHBY, DDS
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1700880556
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | 4998-015 (WI) |
Frequently Asked Questions
NPI 1700880556 is the National Provider Identifier for DALE WILLOUGHBY, DDS, a Dentist - Oral and Maxillofacial Surgery provider located in Kenosha, WI. This NPI was enumerated on June 9, 2005.
DALE WILLOUGHBY, DDS practices at 6707 39TH AVE, Kenosha, WI 53142.
Quick Facts
- NPI
- 1700880556
- Type
- Individual
- Enumerated
- Jun 9, 2005
- Last Updated
- Jun 2, 2022
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