Organization
ROBERT L WILLIAMSON III DDS 4 PA
Active
Other names
Raleigh Comprehensive & Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY CAMPBELL (OPERATION DIRECTOR)
(919) 828-3775
Entity
Organization
Contact information
Practice address
119 N BOYLAN AVE, RALEIGH, NC 27603-1445
(919) 828-3775
Mailing address
PO BOX 10401, RALEIGH, NC 27605-0401
(919) 828-3775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7038
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902049
—
NC
Enumeration date
02/20/2007
Last updated
10/14/2015
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