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Organization
WILLIAMS ORAL AND MAXILLOFACIAL SURGERY, PROF. L.L.C.
Active
Organization
WILLIAMS ORAL AND MAXILLOFACIAL SURGERY, PROF. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY P WILLIAMS DDS (PRESIDENT)
(605) 348-3400
Entity
Organization
Contact information
Practice address
330 E STUMER RD, RAPID CITY, SD 57701-6406
(605) 348-3400
(605) 348-1626
Mailing address
330 E STUMER RD, RAPID CITY, SD 57701-6406
(605) 348-3400
(605) 348-1626
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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