Most Relevant Information
Provider Data
| NPI Number: | 1003021833 |
| Provider Name: | RAPHAEL IVAN WILLIAMS D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0300X |
| Specialty: | Dentist |
| License Number: | 474 |
Most Important Dates
| Enumeration Date: | 05/14/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
8515 DELMAR BLVD
217
SAINT LOUIS
MO
631242168
Practice Location Phone/Fax
| Phone: | 3149938879 |
| Fax: |
Provider Mailing Location
8515 DELMAR BLVD
217
SAINT LOUIS
MO
631242168
Provider Mailing Phone/Fax
| Phone: | 3149938879 |
| Fax: |