Individual
DOUGLAS C. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13065 E 17TH AVE, AURORA, CO 80045-2532
(303) 724-7046
Mailing address
13065 E 17TH AVE, AURORA, CO 80045-2532
(303) 724-7046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00202173
CO
Other
Enumeration date
09/13/2005
Last updated
07/19/2020
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