Individual
DR. PHILLIP R WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2418 W MARKET ST, LOUISVILLE, KY 40212-1539
(502) 772-0704
(502) 772-9587
Mailing address
2418 W MARKET ST, LOUISVILLE, KY 40212-1539
(502) 772-0704
(502) 772-9587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4776
KY
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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