Organization
WILLIAMS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE J WILLIAMS DMD (OWNER/DENTIST)
(208) 232-8410
Entity
Organization
Contact information
Practice address
1130 CALL CREEK DR, POCATELLO, ID 83201-3000
(208) 232-8410
Mailing address
1130 CALL CREEK DR, POCATELLO, ID 83201-3000
(208) 232-8410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1577
ID
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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