Individual
DR. GRANT R WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
38505 BROOTEN RD, STE B, PACIFIC CITY, OR 97135
(503) 965-0014
(503) 965-3637
Mailing address
PO BOX 818, PACIFIC CITY, OR 97135
(503) 965-0014
(503) 965-3637
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6118
OR
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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