Organization
WILLIAMS ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN WILLIAMS (PRINCIPLE)
(318) 547-6999
Entity
Organization
Contact information
Practice address
1912 LAMY LN, MONROE, LA 71201-3742
(318) 600-3040
Mailing address
2706 HERBERT COLE DR, MONROE, LA 71201-2016
(318) 547-6999
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6242
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194513608
—
AR
Enumeration date
11/26/2012
Last updated
10/01/2013
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