Raphael Ivan Williams D.D.S.

NPI 1003021833 - Dentist - 1223P0300X

NPI Details
NPI 1003021833
Gender Male
Enumeration Date 05/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
8515 DELMAR BLVD
217
SAINT LOUIS MO, 63124-2168, US
Phone (314) 993-8879
Fax
Business Location
8515 DELMAR BLVD
217
SAINT LOUIS MO, 63124-2168, US
Phone (314) 993-8879
Fax
Toxanomy
Taxonomy Code 1223P0300X
License State Missouri
License Number 474
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According to our database, Dr. Raphael Ivan Williams D.D.S. NPI is 1003021833, taxonomy code is 1223P0300X and license number is 474, license state is located at Missouri. Raphael Ivan Williams D.D.S. physically located at 8515 Delmar Blvd, Saint Louis MO, 63124-2168. NPI Number Raphael Ivan Williams D.D.S. has the Individual type.

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1003021833 NPI number is provided on an as is basis without warranty of any kind. 1003021833 is maintained by the National Plan & Provider Enumeration System. The contents of Raphael Ivan Williams D.D.S. are for informational purposes only.