Jack Roger Williams, DDS
NPI #1356454722 in Malibu, California
Provider Information
- NPI Number
- 1356454722
- Entity Type
- Individual
- Name
- Jack Roger Williams, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 23706 MALIBU RD
- City
- Malibu
- State
- California
- ZIP Code
- 90265
- Phone
- (310) 456-6497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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