Organization
DENTAL DEPOT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN P WILLIAMSON DDS (DENTIST)
(320) 589-4481
Entity
Organization
Contact information
Practice address
2 E 5TH ST, MORRIS, MN 56267-1344
(320) 589-4481
Mailing address
2 E 5TH ST, MORRIS, MN 56267-1344
(320) 589-4481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13075
MN
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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