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Organization
DESOTO HAPPY TEETH PC
Active
Organization
DESOTO HAPPY TEETH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES IVAN WILLIAMS SR. DDS (DENTIST)
(972) 230-0155
Entity
Organization
Contact information
Practice address
701 N HAMPTON RD, DESOTO, TX 75115-4509
(972) 230-0155
(972) 230-0741
Mailing address
701 N HAMPTON RD, DESOTO, TX 75115-4509
(972) 230-0155
(972) 230-0741
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
10/10/2020
Last updated
04/12/2021
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