Individual
DR. CRAIG STEPHEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 MAIN ST, SUITE 1, OLD SAYBROOK, CT 06475-2301
(860) 388-9774
Mailing address
105 MAIN ST, SUITE 1, OLD SAYBROOK, CT 06475-2301
(860) 388-9774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
006836
CT
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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