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Individual
DR. STUART D. WILKINSON
Active
Individual
DR. STUART D. WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
139690-9924
UT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
139690-9924
UT
Other
Enumeration date
02/02/2007
Last updated
08/06/2015
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