Search › Idaho › 122300000X
Juliann Willardson, DMD
NPI 1992397384 · on the registry since 2021
Practice
- Address
- 120 Desert Sage Way
Mountain Home, ID 83647 - Phone
- (208) 587-3988
- Fax
- (208) 587-3324
- Organisation at this address
- Glenns Ferry Health Center, Inc.
Glenns Ferry Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 5855 W Utopia Rd, Glendale, AZ
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho