MEDICARE: VELTON CURTIS 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	122300000X	Dentist	10462	TX

General Provider Information

NPI Number	:	1760683973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VELTON CURTIS WILLIAMS D.D.S.

Provider Business Mailing Address
First Line	:	3400 BISSONNET 290
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005
Country	:	US
Telephone Number	:	713-526-3773
Fax Number	:	713-526-9385

Provider Business Practice Location Address
First Line	:	3400 BISSONNET ST STE 290
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2192
Country	:	US
Telephone Number	:	713-526-3773
Fax Number	:	713-526-9385

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	07/08/2007

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