Organization
W DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE A WILLIAMS JR. DMD (D.M.D.)
(212) 939-9399
Entity
Organization
Contact information
Practice address
706 ST. NICHOLAS AVE, NEW YORK, NY 10031
(212) 939-9399
(212) 939-9366
Mailing address
706 ST. NICHOLAS AVE, NEW YORK, NY 10031
(212) 939-9399
(212) 939-9366
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
36042-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02578545
—
NY
Enumeration date
03/19/2014
Last updated
03/19/2014
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