Provider Demographics
NPI:1316592223
Name:WILL, KARLI (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARLI
Middle Name:
Last Name:WILL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11160 ROSARITA DR
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3208
Mailing Address - Country:US
Mailing Address - Phone:509-301-5751
Mailing Address - Fax:
Practice Address - Street 1:27699 JEFFERSON AVE STE 306
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-2615
Practice Address - Country:US
Practice Address - Phone:951-506-2424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1038641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice