Individual
DR. LARRY NOLAN WILLIAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3001 6TH ST STE A, NAVAL HEALTH CLINIC, BUILDING 237, GREAT LAKES, IL 60088-2833
(847) 688-3331
(847) 688-6259
Mailing address
4934 LUNT AVE, SKOKIE, IL 60077-3538
(847) 975-3767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-026064
IL
1223G0001X
General Practice Dentistry
0401008558
VA
Other
Enumeration date
01/25/2006
Last updated
02/27/2013
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