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Organization

WILSON DMD A PROFESSIONAL DENTAL CORPORATION

Active
Other names
Magnolia Sleep Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSTAL CASTILLO (COORDINATOR)
(972) 689-8630
Entity
Organization

Contact information

Practice address
933 SHASTA ST, YUBA CITY, CA 95991-4114
(530) 671-1770
Mailing address
933 SHASTA ST, YUBA CITY, CA 95991-4114
(530) 671-1770

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
06/05/2024
Last updated
07/24/2024
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