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Individual

MS. JACQUELINE MAXINE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
4 ATLANTIC ST SW, DENTAL OFFICE, WASHINGTON, DC 20032-2350
(202) 540-9857
(202) 540-9857
Mailing address
4 ATLANTIC ST SW, DENTAL OFFICE, WASHINGTON, DC 20032-2350
(202) 540-9857
(202) 232-8494

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN1001184
DC
1223G0001X
General Practice Dentistry
DEN1001184
DC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037409300
DC
Enumeration date
10/22/2010
Last updated
03/28/2014
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