NPI 1104430677

Austin Wayne Williams, X

Practitioner Dental Assistant Fort Myer, VA

Practice location

Address: 401 Carpenter Rd, Fort Myer, VA 22211-1009
Phone: (703) 696-3460

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1104430677
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Sep 2020
Record last updated: 2 Sep 2020

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.