Individual
DR. ERIC WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
205 COMMUNITY BLVD, WYTHEVILLE, VA 24382-2659
(276) 228-8571
Mailing address
946 SWALLOW HOLLOW RD, RURAL RETREAT, VA 24368-2731
(276) 620-4040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414802
VA
Other
Enumeration date
06/07/2015
Last updated
09/24/2024
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