| NPI | 1851479000 | 
|---|---|
| Former Name | CLAUDIA NICKOLE WILLIAMS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 14126)  | 
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: MI 2901017593)  | 
| Enumeration Date | 2006-11-02 | 
| Last Update Date | 2019-11-01 |