Individual
DONNA R WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
360 W 125TH ST, #7A, NEW YORK, NY 10027-4801
(212) 864-7224
Mailing address
360 W 125TH ST, #7A, NEW YORK, NY 10027-4801
(212) 864-7224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45104-1
NY
Other
Enumeration date
05/01/2008
Last updated
12/27/2020
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