Individual
DR. JOHN JOSEPH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2005 PINE ST, SANDPOINT, ID 83864-9327
(208) 263-8535
(208) 265-2365
Mailing address
2005 PINE ST, SANDPOINT, ID 83864-9327
(208) 263-8535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4649
ID
122300000X
Dentist
DE60289676
WA
Other
Enumeration date
07/30/2012
Last updated
06/02/2025
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