Individual
AUSTIN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
714 TIVERTON AVE, LOS ANGELES, CA 90095-8361
(310) 825-9789
Mailing address
10852 WILKINS AVE, LOS ANGELES, CA 90024-4924
(310) 424-8870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
B021289
CA
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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