Organization
TRACEY TABOR WILLIAMS, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY TABOR WILLIAMS DMD (OWNER)
(317) 637-4636
Entity
Organization
Contact information
Practice address
303 N ALABAMA ST, SUITE 270, INDIANAPOLIS, IN 46204-2037
(317) 637-4636
Mailing address
303 N ALABAMA ST, SUITE 270, INDIANAPOLIS, IN 46204-2037
(317) 637-4636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010679A
IN
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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