Individual
MR. GEORGE M. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
380 W PUTNAM AVE, PORTERVILLE, CA 93257-3323
(559) 781-9117
(559) 781-2819
Mailing address
380 W PUTNAM AVE, PORTERVILLE, CA 93257-3323
(559) 781-9117
(559) 781-2819
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24621
CA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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