Individual
DR. ROBERT C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15 DIX STREET, WINCHESTER, MA 01890
(781) 729-8180
(781) 729-8719
Mailing address
15 DIX STREET, WINCHESTER, MA 01890
(781) 729-8180
(781) 729-8719
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12591
MA
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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