Organization
GREAT RIVER ORAL AND MAXILLOFACIAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS P WILLIAMS DDS (PRESIDENT)
(563) 557-1440
Entity
Organization
Contact information
Practice address
100 BRYANT ST, DUBUQUE, IA 52003-7405
(563) 557-1440
(563) 557-7001
Mailing address
100 BRYANT ST, DUBUQUE, IA 52003-7405
(563) 557-1440
(563) 557-7001
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2005
Last updated
08/22/2020
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