Individual
DR. LEONARD DAVID WILLIAMS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
621A N FODALE AVE, SOUTHPORT, NC 28461-3550
(910) 363-1695
Mailing address
4013 NORSEMAN LOOP UNIT 5, SOUTHPORT, NC 28461-1010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10491
NC
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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