Individual
DR. EDWARD W. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
30 E 60TH ST RM 302, NEW YORK, NY 10022-7102
(212) 832-4110
(212) 355-5209
Mailing address
30 E 60TH ST RM 302, NEW YORK, NY 10022-7102
(212) 832-4110
(212) 355-5209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038739
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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