Individual
DR. RUSSELL CLARK WILLIAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
621 LAKE VIEW DR, DEVILS LAKE, ND 58301-8756
(701) 662-5008
Mailing address
621 LAKE VIEW DR, DEVILS LAKE, ND 58301-8756
(701) 662-5008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1970
ND
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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