Organization
WILLIAMSON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI WHITEHEAD (DENTAL ASSISTANT)
(641) 684-6889
Entity
Organization
Contact information
Practice address
1112 N VAN BUREN AVE, OTTUMWA, IA 52501-6416
(641) 684-6889
Mailing address
1112 N VAN BUREN AVE, OTTUMWA, IA 52501-6416
(641) 684-6889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07523
IA
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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