| NPI | 1528152394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C WILLIAMS President Pediatric Dentist 731-664-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-06-06 |