Individual
JENNIFER M WILLIAMS DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1651 NW HUGHWOOD CT, ROSEBURG, OR 97471-8834
(541) 672-8187
(541) 672-0224
Mailing address
299 HIDDEN VALLEY LN, ROSEBURG, OR 97471-8255
(208) 866-6907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D4251
ID
1223G0001X
General Practice Dentistry
Primary
D9453
OR
Other
Enumeration date
08/11/2009
Last updated
06/10/2011
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