Individual
STEVEN R WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8600 E VIA DE VENTURA STE 201, SCOTTSDALE, AZ 85258-3325
(480) 948-6549
(480) 948-0792
Mailing address
8600 E VIA DE VENTURA STE 201, SCOTTSDALE, AZ 85258-3325
(480) 948-6549
(480) 948-0792
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1440
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801844121
TYPE II - NPI NUMBER
AZ
Enumeration date
01/08/2007
Last updated
07/08/2007
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