Whalio Doctors

NPI 1003021833

Raphael Ivan Williams, DDS

Practitioner Periodontics Saint Louis, MO

Practice location

Address
8515 Delmar Blvd 217, Saint Louis, MO 63124-2168
Phone
(314) 993-8879

Registered specialties

Periodontics Primary
Dental Providers Taxonomy 1223P0300X Licence 474 (MO)

Registry record

NPI
1003021833
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.