Individual
DR. CHESTER A. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2205 TUSCARAWAS ST E, CANTON, OH 44707-2702
(330) 453-7299
(330) 453-7282
Mailing address
2205 TUSCARAWAS ST E, CANTON, OH 44707-2702
(330) 453-7299
(330) 453-7282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19531
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0880757
—
OH
05
—
2373
—
OH
05
—
34-1825962028
—
OH
Enumeration date
07/25/2006
Last updated
07/09/2007
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