Organization
RICHARD A. WILSON, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALLEN WILSON DDS (OWNER/PRESIDENT)
(936) 756-9015
Entity
Organization
Contact information
Practice address
3828 W DAVIS ST, SUITE 310, CONROE, TX 77304-1815
(936) 756-9015
(936) 756-7098
Mailing address
3828 W DAVIS ST, SUITE 310, CONROE, TX 77304-1815
(936) 756-9015
(936) 756-7098
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
26065
TX
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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