Individual
FREDERICK ALLEN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
343 OLD WHITEVILLE RD, SHALLOTTE, NC 28459
(910) 754-6718
Mailing address
PO BOX 607, SHALLOTTE, NC 28459-0607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7195
NC
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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