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Organization
WILSON DENTAL LAB INC
Active
Organization
WILSON DENTAL LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON DUC PHAM CDT (OWNER)
(249) 224-5335
Entity
Organization
Contact information
Practice address
4500 47TH AVE STE 4, SACRAMENTO, CA 95824-3848
(916) 487-2236
Mailing address
4500 47TH AVE STE 4, SACRAMENTO, CA 95824-3848
(916) 487-2236
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
NULL
Other
Enumeration date
10/08/2026
Last updated
10/08/2026
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