Williams, Raphael Ivan
Williams, Raphael Ivan is an sole proprietor health care provider with primary practice located at 8515 Delmar Blvd 217, Saint Louis MO 63124-2168. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Williams, Raphael Ivan can be contacted via phone (314) 993-8879.Contact Information
Primary practice address
8515 Delmar Blvd 217
Saint Louis MO 63124-2168
Phone: (314) 993-8879
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 474 | Missouri |
Profile Details
| NPI number | 1003021833 |
|---|---|
| LBN Legal business name | Williams, Raphael Ivan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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