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Individual

DR. JULIAN JEROME WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, FACS

Contact information

Practice address
1025 W AVENUE K, LANCASTER, CA 93534-6428
(661) 723-1111
Mailing address
3900 W SUNSET BLVD, LOS ANGELES, CA 90029-2242
(925) 219-6019

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
58886
CA

Other

Enumeration date
07/15/2009
Last updated
12/19/2024
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