Individual
DR. REX RALPH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD PC
Contact information
Practice address
522 WALNUT STREET, GADSDEN, AL 35901
(256) 943-9046
Mailing address
522 WALNUT STREET, GADSDEN, AL 35901
(256) 943-9046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3982
AL
Other
Enumeration date
10/23/2006
Last updated
03/10/2008
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