Organization
WILLIAMS ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN WILLIAMS (PRINCIPLE)
(870) 639-1737
Entity
Organization
Contact information
Practice address
408 W OAK ST, EL DORADO, AR 71730-4567
(870) 639-1737
Mailing address
408 W OAK ST, EL DORADO, AR 71730-4567
(870) 639-1737
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
131
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194513608
—
AR
05
—
194514631
—
AR
Enumeration date
10/03/2013
Last updated
10/03/2013
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