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Organization
WILSON DENTAL, PC
Active
Organization
WILSON DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI L SILVERMAN (OFFICE MANAGER)
(616) 866-0164
Entity
Organization
Contact information
Practice address
610 E. DIVISION, ROCKFORD, MI 49341
(616) 866-0164
(616) 866-1804
Mailing address
610 E. DIVISION, ROCKFORD, MI 49341
(616) 866-0164
(616) 866-1804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11866
MI
1223G0001X
General Practice Dentistry
18655
MI
1223G0001X
General Practice Dentistry
18895
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047000
—
MI
Enumeration date
11/19/2008
Last updated
11/19/2008
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