Individual
DR. WILSON S. MORISHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
747 LOCUST ST STE 200, PASADENA, CA 91101-4457
(626) 796-5361
(626) 796-3857
Mailing address
747 LOCUST ST STE 200, PASADENA, CA 91101-4457
(626) 796-5361
(626) 796-3857
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
24317
CA
Other
Enumeration date
07/11/2005
Last updated
07/08/2007
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