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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