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Organization
WILSON DENTAL P.C.
Active
Organization
WILSON DENTAL P.C.
Active
Other names
Chenango Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PATRICK WILSON D.D.S. (PRESIDENT)
(917) 880-1617
Entity
Organization
Contact information
Practice address
295 CHENANGO ST, BINGHAMTON, NY 13901-2312
(917) 880-1617
Mailing address
295 CHENANGO ST, BINGHAMTON, NY 13901-2312
(917) 880-1617
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052924
NY
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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