Organization
HARLAN J. WILSON, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARLAN JOSEPH WILSON D.D.S. (PRESIDENT)
(314) 352-4820
Entity
Organization
Contact information
Practice address
16 HAMPTON VILLAGE PLZ, STE. 278, SAINT LOUIS, MO 63109-2128
(314) 352-4820
(314) 352-6866
Mailing address
16 HAMPTON VILLAGE PLZ, STE. 278, SAINT LOUIS, MO 63109-2128
(314) 352-4820
(314) 352-6866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013008
MO
Other
Enumeration date
05/05/2007
Last updated
08/22/2020
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