Individual
DR. D'ANDRA MELLISSA WILLIAMS- RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9000 GOLFSIDE DR # A, JACKSONVILLE, FL 32256-7793
(904) 737-8410
Mailing address
9000 GOLFSIDE DR # A, JACKSONVILLE, FL 32256-7793
(904) 737-8410
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
26621
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/11/2018
Last updated
10/25/2022
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