Organization
DAVID A WILSON DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILSON DDS (OWNER)
(214) 476-7915
Entity
Organization
Contact information
Practice address
510 BALSAM RD, HENDERSONVILLE, NC 28792-5703
(828) 693-4431
(828) 693-4434
Mailing address
510 BALSAM RD, HENDERSONVILLE, NC 28792-5703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9415
NC
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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