Organization
LEONARD H MCWILLIAMS DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD H MCWILLIAMS DDS (PRINCIPAL OFFICER)
(337) 462-1315
Entity
Organization
Contact information
Practice address
501 BON AMI ST, DERIDDER, LA 70634-4925
(337) 462-1315
(337) 462-6411
Mailing address
501 BON AMI ST, DERIDDER, LA 70634-4925
(337) 462-1315
(337) 462-6411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3362
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1833622
—
LA
Enumeration date
04/03/2007
Last updated
08/22/2020
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