| NPI | 1043727092 |
|---|---|
| Doing Business As | WILLIAMSBURG DENTAL PIEDMONT |
| Entity Type | Organization |
| Authorized Contact | BONNIE L GALL Clinical Coordinator 402-904-6005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 5965) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |