Organization
ZACHARY T WILLIAMS DDS MCLD LLC
Active
Parent organization
ZACHARY T WILLIAMS DDS MCLD
Other names
Osborne and Williams Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ZACHARY T WILLIAMS DDS MCLD
Authorized official
DR. ZACHARY THOMAS WILLIAMS D.D.S., M.C.L.D. (MANAGER)
(816) 419-0946
Entity
Organization
Contact information
Practice address
10760 E STATE ROUTE 350, RAYTOWN, MO 64138-1815
(816) 358-9691
Mailing address
10760 E STATE ROUTE 350, RAYTOWN, MO 64138-1815
(816) 358-9691
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2011003001
MO
Other
Enumeration date
12/03/2011
Last updated
12/03/2011
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