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Individual
WILSON E WARD
Active
Individual
WILSON E WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1787
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001470512
MS BCBS
WV
05
—
0136119000
—
WV
01
—
5462128
AETNA
WV
Enumeration date
01/23/2006
Last updated
03/19/2012
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