Individual
AUSTIN WAYNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
X2
Contact information
Practice address
401 CARPENTER RD, FORT MYER, VA 22211-1009
(703) 696-3460
Mailing address
401 CARPENTER RD, FORT MYER, VA 22211-1009
(703) 696-3460
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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