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Organization
MICHAEL P. WILSON, DDS, INC
Active
Organization
MICHAEL P. WILSON, DDS, INC
Active
Other names
Your Family Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P WILSON DDS (OWNER-PRESIDENT)
(607) 238-1280
Entity
Organization
Contact information
Practice address
7677 CENTER AVE, SUITE 210, HUNTINGTON BEACH, CA 92647-3074
(607) 238-1280
(607) 238-1286
Mailing address
30 W STATE ST, BINGHAMTON, NY 13901-2332
(607) 238-1280
(607) 238-1286
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62234
CA
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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