Organization
DALLAS EMERGENCY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES IVAN WILLIAMS SR. D.D.S. (OWNER)
(214) 219-1159
Entity
Organization
Contact information
Practice address
3001 KNOX STE. # 300 B, DALLAS, TX 75205
(214) 219-1159
(972) 576-3664
Mailing address
3109 KNOX ST. BOX 311, DALLAS, TX 75205
(214) 219-1159
(972) 576-3664
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8495
TX
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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