Organization
MICHAEL O. WILLIAMS, D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL OWEN WILLIAMS D.D.S. (ORTHODONTIST DIRECTOR)
(228) 896-8333
Entity
Organization
Contact information
Practice address
424 COURTHOUSE RD, GULFPORT, MS 39507-1849
(228) 896-8333
Mailing address
424 COURTHOUSE RD, GULFPORT, MS 39507-1849
(228) 896-8333
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1738-76
MS
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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