Individual
DR. CHRISTOPHER TODD WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17680 SW HANDLEY STREET, SUITE 202, SHERWOOD, OR 97140
(503) 925-1566
(503) 925-1576
Mailing address
17680 SW HANDLEY STREET, SUITE 202, SHERWOOD, OR 97140
(503) 925-1566
(503) 925-1576
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D7723
OR
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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