Vincent L Williams, DMD,PA Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Twin Falls, ID

NPI

1376685982

Type

Individual (Type 1)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

D1658-OS (ID)

Sex

Male

Sole proprietor

No

Enumerated

2007-02-12

Last updated

2011-11-28