Organization
RC & SA WILSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI HACKEL (OFFICE MANAGER)
(402) 498-8804
Entity
Organization
Contact information
Practice address
13215 BIRCH DR, SUITE 101, OMAHA, NE 68164-5431
(402) 498-8804
(402) 498-8838
Mailing address
13215 BIRCH DR, SUITE 101, OMAHA, NE 68164-5431
(402) 498-8804
(402) 498-8838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5060
NE
1223G0001X
General Practice Dentistry
5248
NE
Other
Enumeration date
01/30/2007
Last updated
06/12/2008
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