Organization
D NEIL WILSON D.D.S. M.S. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENDA M CALEY (SECRETARY)
(772) 299-4179
Entity
Organization
Contact information
Practice address
2025 35TH AVE, SUITE B, VERO BEACH, FL 32960-2421
(772) 299-4179
(772) 299-4577
Mailing address
2025 35TH AVE, SUITE B, VERO BEACH, FL 32960-2421
(772) 299-4179
(772) 299-4577
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN14498
FL
1223P0300X
Periodontics
DN16531
FL
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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