Individual
DR. ROSS MICHAEL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1510 E LINCOLN RD, IDABEL, OK 74745-7349
(580) 286-3051
Mailing address
1510 E LINCOLN RD, IDABEL, OK 74745-7349
(580) 286-3051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6752
OK
1223G0001X
General Practice Dentistry
Primary
6752
OK
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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