Individual
LARRY S WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
115 BUSINESS LOOP 70 W, COLUMBIA, MO 65203-3244
(573) 884-6253
(573) 884-5390
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE011674
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400904629
—
MO
Enumeration date
06/01/2006
Last updated
09/25/2008
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