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Organization
WILSON DENTISTRY, INC.
Active
Organization
WILSON DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN L BUTLER (BUSINESS MANAGER)
(607) 238-1280
Entity
Organization
Contact information
Practice address
1063 N. D ST, SAN BERNARDINO, CA 92410
(909) 233-7250
Mailing address
1063 N D ST, SAN BERNARDINO, CA 92410-3539
(909) 233-7250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62234
NY
Other
Enumeration date
08/28/2014
Last updated
12/11/2014
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