Individual
DR. THOMAS G. WILSON JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5465 BLAIR RD, SUITE 200, DALLAS, TX 75231-4100
(214) 691-2404
(214) 691-2228
Mailing address
5465 BLAIR RD, SUITE 200, DALLAS, TX 75231-4100
(214) 691-2404
(214) 691-2228
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
9710
TX
Other
Enumeration date
08/26/2005
Last updated
07/08/2007
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