Williams, Russell Clark
Williams, Russell Clark is an sole proprietor health care provider with primary practice located at 621 Lake View Dr , Devils Lake ND 58301-8756. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Williams, Russell Clark can be contacted via phone (701) 662-5008.Contact Information
Primary practice address
621 Lake View Dr
Devils Lake ND 58301-8756
Phone: (701) 662-5008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1970 | North Dakota |
Profile Details
| NPI number | 1437286804 |
|---|---|
| LBN Legal business name | Williams, Russell Clark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 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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