Austin Wayne Williams, X2

NPI #1104430677 in Fort Myer, Virginia

Provider Information

NPI Number: 1104430677
Entity Type: Individual
Name: Austin Wayne Williams, X2
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Credential: X2
Enumeration Date: Sep 2, 2020
Last Updated: Sep 2, 2020

Practice Location

Address: 401 CARPENTER RD
City: Fort Myer
State: Virginia
ZIP Code: 22211-1009
Phone: (703) 696-3460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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