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Organization
STEVEN L. WILSON, DDS, LLC
Active
Organization
STEVEN L. WILSON, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LEE WILSON D.D.S. (PRESIDENT)
(620) 665-5200
Entity
Organization
Contact information
Practice address
210 E 30TH AVE, SUITE 140, HUTCHINSON, KS 67502-2475
(620) 665-5200
(620) 665-5202
Mailing address
210 E 30TH AVE, SUITE 140, HUTCHINSON, KS 67502-2475
(620) 665-5200
(620) 665-5202
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6598
KS
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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