West End Family Dental Clinic LLC
NPI #1053734541 in Louisville, Kentucky
Provider Information
- NPI Number
- 1053734541
- Entity Type
- Organization
- Organization Name
- West End Family Dental Clinic LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 4, 2014
- Last Updated
- Feb 4, 2014
Practice Location
- Address
- 2418 W MARKET ST
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40212-1539
- Phone
- (502) 772-0704
Authorized Official
- Name
- DR. PHILLIP R. WILLIAMS, DMD
- Title
- OWNER
- Phone
- (502) 772-0704
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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