Individual
DR. WILLIAM F WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
850 DESOTO AVE, EXTENDED, CLARKSDALE, MS 38614
(662) 627-1181
(662) 627-3674
Mailing address
850 DESOTO AVE, EXTENDED, CLARKSDALE, MS 38614
(662) 627-1181
(662) 627-3674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
210784
MS
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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