Individual
KEVIN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2710 BRAMBLE DR, MONROE, LA 71201-2321
(318) 547-6999
Mailing address
2710 BRAMBLE DR, MONROE, LA 71201-2321
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
3896
AR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6242
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2010
Last updated
09/24/2012
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