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NPI Code Detail

MEDICARE: DR. MARY LYNN WILLIAMS D.D.S.

MEDICARE:  DR. MARY LYNN 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
11223G0001XGeneral Practice Dentistry19144TX

General Provider Information

NPI Number : 1497040950
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY LYNN WILLIAMS D.D.S.
Provider Business Mailing Address
First Line : 1436 W GRAY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77019-4927
Country : US
Telephone Number : 713-521-3131
Fax Number : 713-521-1222
Provider Business Practice Location Address
First Line : 1436 W GRAY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77019-4927
Country : US
Telephone Number : 713-521-3131
Fax Number : 713-521-1222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2011
Last Update Date : 06/13/2011

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Directions to “ DR. MARY LYNN WILLIAMS D.D.S.” Practice Location

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