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Organization
MICHAEL N WILLIAMS DDS PA
Active
Organization
MICHAEL N WILLIAMS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NEAL WILLIAMS DDS (DENTIST)
(316) 684-1470
Entity
Organization
Contact information
Practice address
4902 E 21ST ST N, WICHITA, KS 67208-1601
(316) 684-1470
(316) 684-3584
Mailing address
4902 E 21ST, WICHITA, KS 67208-1601
(316) 684-1470
(316) 684-3584
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5597
KS
122300000X
Dentist
60536
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221620A
—
KS
05
—
200548610C
—
KS
Enumeration date
03/29/2010
Last updated
03/29/2010
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