Individual
LAWRENCE SAMUEL WILLIAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
100 PRISON ROAD, FED CORR INST ESTILL, ESTILL, SC 29918-0699
(803) 625-4607
(803) 625-5636
Mailing address
PO BOX 699, FED CORR INST ESTILL, ESTILL, SC 29918-0699
(803) 625-4607
(803) 625-5636
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2901
SC
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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