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Organization
WILSON AND NOVOTNY DENTAL CORPORATION
Active
Organization
WILSON AND NOVOTNY DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KENNY WILSON DDS (PRESIDENT)
(858) 484-4880
Entity
Organization
Contact information
Practice address
9310 CARMEL MOUNTAIN RD, SUITE D, SAN DIEGO, CA 92129-2158
(858) 484-4880
Mailing address
9310 CARMEL MOUNTAIN ROAD, SUITE D, SAN DIEGO, CA 92129-2158
(858) 484-4880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
32157
CA
1223G0001X
General Practice Dentistry
Primary
32204
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
32204
CA
Other
Enumeration date
12/11/2006
Last updated
09/11/2025
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