Individual
DR. JERRY B WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24121 NE 124TH CIRCLE, BRUSH PRAIRIE, WA 98606-4322
(360) 260-6934
Mailing address
24121 NE 124TH CIR, BRUSH PRAIRIE, WA 98606-4322
(360) 260-6934
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4684
WA
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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