Individual
GABRIELLE VICTORIA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8823 UNIVERSITY EAST DR, SUITE 100, CHARLOTTE, NC 28213-4207
(704) 569-8949
(704) 596-8185
Mailing address
8823 UNIVERSITY EAST DRIVE, SUITE 100, CHARLOTTE, NC 28213-5147
(704) 569-8949
(704) 596-8185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8107
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902242
—
NC
01
—
9022U
BLUE CROSS BLUE SHIELD NC
—
Enumeration date
08/25/2006
Last updated
08/03/2011
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