Individual
DR. RAPHAEL IVAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8515 DELMAR BLVD, 217, SAINT LOUIS, MO 63124-2168
(314) 993-8879
Mailing address
8515 DELMAR BLVD, 217, SAINT LOUIS, MO 63124-2168
(314) 993-8879
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
474
MO
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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