Individual
DR. ANDREW THOMAS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3195 COLD SPRINGS RD, HUNTINGDON, PA 16652-2713
(814) 643-7300
(814) 643-7300
Mailing address
3195 COLD SPRINGS RD, HUNTINGDON, PA 16652-2713
(814) 643-7300
(814) 643-7300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS030745L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1523344
UNITED CONCORDIA
PA
Enumeration date
08/02/2006
Last updated
04/16/2008
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