| Leonard David Williams Iv Dds-pc | |
|
621a N Fodale Ave Southport NC 28461-3550 | |
| (910) 457-5026 | |
| Not Available |
| Full Name | Leonard David Williams Iv Dds-pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 621a N Fodale Ave, Southport, North Carolina |
| Authorized Official Name and Position | Leonard David Williams (PRESIDENT) |
| Authorized Official Contact | 3163237933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard David Williams Iv Dds-pc 621a N Fodale Ave Southport NC 28461-3550 Ph: (910) 457-5026 | Leonard David Williams Iv Dds-pc 621a N Fodale Ave Southport NC 28461-3550 Ph: (910) 457-5026 |
| NPI Number | 1922782218 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922782218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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