Organization
T MERRELL WILLIAMS DMD MS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD MERRELL WILLIAMS DMD MS (OWNER PRESIDENT)
(813) 354-8707
Entity
Organization
Contact information
Practice address
4505 N ARMENIA AVE, #101, TAMPA, FL 33603
(813) 354-8707
(813) 354-9230
Mailing address
4505 N ARMENIA AVE, #101, TAMPA, FL 33603
(813) 354-8707
(813) 354-9230
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN12810
FL
Other
Enumeration date
02/08/2006
Last updated
12/28/2011
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