Organization
WILLIAMS DENTAL LLC
Active
Other names
Summit Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY D WILLIAMS DDS (PRESIDENT)
(573) 446-0032
Entity
Organization
Contact information
Practice address
2310 FORUM BLVD SUITE A, COLUMBIA, MO 65203-5461
(573) 446-0032
(573) 447-4424
Mailing address
2310 FORUM BLVD APT A, COLUMBIA, MO 65203-5461
(573) 446-0032
(573) 447-4424
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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