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Individual

DR. CODY TIONE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
66 W HARDING AVE STE A, CEDAR CITY, UT 84720-2596
(435) 586-8980
Mailing address
66 W HARDING AVE STE A, CEDAR CITY, UT 84720-2596
(435) 586-8980

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6242250
UT

Other

Enumeration date
05/15/2008
Last updated
05/15/2008
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