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Dr. Avi Willis, DMD,MAST
Pediatric Dentist in Encinitas, California
NPI 1942681069

Avi Willis is a Pediatric Dentist based in San Diego, CA and is specialized in Pediatric Dentistry. Avi Willis practices in Encinitas, CA and has the professional credentials of DMD,MAST. The NPI Number for Avi Willis is 1942681069 and holds a License No. DS040383 (California).

The current practice location address for Avi Willis is 135 Saxony Rd, Encinitas, CA and can be reached out via phone at 760-634-5437.

Location: 135 Saxony Rd, Encinitas, CA, 92122-3311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942681069
Provider Name
Avi Willis
Credential
DMD,MAST
Provider Entity Type
Individual
Gender
Male
Address
135 Saxony Rd, Encinitas, CA, 92122-3311
Phone Number
760-634-5437
Fax Number
Provider Enumeration Date
06/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
135 Saxony Rd
City
Encinitas
State
California
Zip
92024-3791
Phone Number
760-634-5437
Fax Number
person
Provider Business Mailing Address Details
Address
135 Saxony Rd
City
Encinitas
State
California
Zip
92024-3791
Phone Number
760-634-5437
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DS040383 (Pennsylvania)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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