Individual
MISTY D WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2310 FORUM BLVD APT A, COLUMBIA, MO 65203
(573) 446-0032
Mailing address
2310 FORUM BLVD APT A, COLUMBIA, MO 65203-5461
(573) 446-0032
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2014016657
MO
1223G0001X
General Practice Dentistry
Primary
2014016657
MO
Other
Enumeration date
06/05/2014
Last updated
06/05/2019
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