Organization
SEQUOYAH DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM M WILSON DDS (DENTIST/OWNER)
(479) 313-7373
Entity
Organization
Contact information
Practice address
2827 E MILLENNIUM PL STE 3, FAYETTEVILLE, AR 72703-6528
(479) 313-7373
Mailing address
2827 E MILLENNIUM PL STE 3, FAYETTEVILLE, AR 72703-6528
(479) 313-7373
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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