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 |