Individual
DR. AUSTIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059713-1
NY
Other
Enumeration date
02/24/2016
Last updated
01/16/2019
Update your record
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