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Individual

DR. NOAH R. WILSON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
767 WEST STREET, PITTSBORO, NC 27312
(919) 542-3502
(919) 542-4719
Mailing address
PO BOX 940, PITTSBORO, NC 27312-0940
(919) 542-3502
(919) 542-4719

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5465
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8999413
NC
Enumeration date
10/24/2006
Last updated
08/13/2013
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