Individual
DR. RONALD E. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1295 TERRELL MILL RD SE, SUITE 102, MARIETTA, GA 30067-9438
(770) 952-5200
Mailing address
2267 EDGARTOWN LN SE, SMYRNA, GA 30080-6575
(770) 433-2820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7823
GA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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