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Organization
GEORGE M WILSON DDS INC
Active
Organization
GEORGE M WILSON DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSUELO R MENDEZ (OFFICE MANAGER)
(559) 781-9117
Entity
Organization
Contact information
Practice address
380 W PUTNAM AVE, PORTERVILLE, CA 93257-3323
(559) 781-9117
(559) 781-2819
Mailing address
380 W PUTNAM AVE, PORTERVILLE, CA 93257-3323
(559) 781-9117
(559) 781-2819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34621
CA
Other
Enumeration date
07/19/2005
Last updated
08/22/2020
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