Individual
JAMES C WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
19 W MARKET ST, SUITE A, TIFFIN, OH 44883-2772
(419) 447-9541
(419) 447-1223
Mailing address
19 W MARKET ST, TIFFIN, OH 44883-2772
(419) 447-9541
(419) 447-1223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30016610
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0568827
—
OH
Enumeration date
09/22/2005
Last updated
07/08/2007
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