Organization
WILLIAMS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE GOLDEN WILLIAMS DDS (CEO)
(225) 924-4620
Entity
Organization
Contact information
Practice address
652 LOBDELL AVE, BATON ROUGE, LA 70806-6318
(225) 924-4620
(225) 223-6083
Mailing address
652 LOBDELL AVE, BATON ROUGE, LA 70806-6318
(225) 924-4620
(225) 223-6083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5609
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1856096
—
LA
Enumeration date
03/14/2007
Last updated
11/23/2010
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