Organization
TOP ROCKER INDUSTRIES
Active
Other names
Scott Wilson DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT PAUL WILSON DDS (PRESIDENT)
(620) 276-7681
Entity
Organization
Contact information
Practice address
1133 E KANSAS PLZ, GARDEN CITY, KS 67846-5870
(620) 276-7681
(620) 276-9203
Mailing address
1133 E KANSAS PLZ, GARDEN CITY, KS 67846-5870
(620) 276-7681
(620) 276-9203
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60633
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200640840A
—
KS
Enumeration date
09/21/2010
Last updated
09/21/2010
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