Willard Fisher, Dds, Inc.

NPI 1568890135 - Dentist - 1223G0001X

NPI Details
NPI 1568890135
Enumeration Date 10/17/2013
Last Updated 10/17/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name WILLARD CHARLES WILLARD
Position PRESIDENT
Phone (858) 521-0000
Fax
Practice Location
11968 BERNARDO PLAZA DRIVE
SAN DIEGO CA, 92128, US
Phone (858) 521-0000
Fax
Business Location
11968 BERNARDO PLAZA DRIVE
SAN DIEGO CA, 92128, US
Phone (858) 521-0000
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 21129
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According to our database, Willard Fisher, Dds, Inc. NPI is 1568890135, taxonomy code is 1223G0001X and license number is 21129, license state is located at California. Willard Fisher, Dds, Inc. physically located at 11968 Bernardo Plaza Drive, San Diego CA, 92128. NPI Number 1033115704 has the healthcare provider type.

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1568890135 NPI number is provided on an as is basis without warranty of any kind. 1568890135 is maintained by the National Plan & Provider Enumeration System. The contents of Willard Fisher, Dds, Inc. are for informational purposes only.