MEDICARE: DR. KRISTEN ELIZABETH WILLIAMS D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	0401008880	VA

General Provider Information

NPI Number	:	1154473114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTEN ELIZABETH WILLIAMS D.D.S.

Provider Business Mailing Address
First Line	:	801 N QUINCY ST
Second Line	:	SUITE 110
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1999
Country	:	US
Telephone Number	:	703-778-7610
Fax Number	:	703-243-8006

Provider Business Practice Location Address
First Line	:	801 N QUINCY ST
Second Line	:	SUITE 110
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1999
Country	:	US
Telephone Number	:	703-778-7610
Fax Number	:	703-243-8006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	07/08/2007

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