Organization
WEST END FAMILY DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP R. WILLIAMS DMD (OWNER)
(502) 772-0704
Entity
Organization
Contact information
Practice address
2418 W MARKET ST, LOUISVILLE, KY 40212-1539
(502) 772-0704
(502) 772-9587
Mailing address
2418 W MARKET ST, LOUISVILLE, KY 40212-1539
(502) 772-0704
(502) 772-9587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4776
KY
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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