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Organization
NEIL S WILENSKY DDS INC
Active
Organization
NEIL S WILENSKY DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL STEVEN WILENSKY DDS (OWNER PRESIDENT OF CORPORATION)
(707) 961-4270
Entity
Organization
Contact information
Practice address
895 RIVER DRIVE, FORT BRAGG, CA 95437-5441
(707) 961-4270
(707) 961-4275
Mailing address
895 RIVER DRIVE, FORT BRAGG, CA 95437-5441
(707) 961-4270
(707) 961-4275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019990
CA
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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