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Organization
SHAWN K WILSON DDS INC
Active
Organization
SHAWN K WILSON DDS INC
Active
Other names
Shawn K Wilson DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN KEVIN WILSON DDS (OWNER OPERATOR)
(530) 222-0515
Entity
Organization
Contact information
Practice address
3110 CHURN CREEK ROAD, REDDING, CA 96002
(530) 222-0515
(530) 222-1623
Mailing address
3110 CHURN CREEK ROAD, SUITE A, REDDING, CA 96002
(530) 222-0515
(530) 222-1623
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
032518
CA
Other
Enumeration date
10/23/2006
Last updated
10/02/2014
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