Individual
JERALD V WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
322 S 6TH AVE, WAUCHULA, FL 33873-3207
(863) 333-9192
Mailing address
322 SOUTH 6TH AVE, WAUCHULA, FL 33873
(863) 333-9192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN012437
GA
1223G0001X
General Practice Dentistry
Primary
DN19666
FL
Other
Enumeration date
03/19/2007
Last updated
07/21/2022
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