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Individual

DR. BRYAN JACK WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4800 SAND POINT WAY NE, M/S CD, SEATTLE, WA 98105-3901
(206) 987-2243
(206) 987-3891
Mailing address
4800 SAND POINT WAY NE, M/S CD, SEATTLE, WA 98105-3901
(206) 987-2243
(206) 987-3891

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00007285
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE00007285
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0130118
MT
05
03556700
ID
05
5100011
WA
05
DD103WA
AK
Enumeration date
09/14/2006
Last updated
01/29/2018
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