Individual
DR. KORY J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12121 E BROADWAY AVE BLDG III, SPOKANE VALLEY, WA 99206-4972
(509) 928-3363
Mailing address
12121 E BROADWAY AVE BLDG III, SPOKANE VALLEY, WA 99206-4972
(509) 928-3363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00011053
WA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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