Organization
CRAIG S. WILSON, D.D.S., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG STEPHEN WILSON D.D.S. (OWNER)
(860) 388-9774
Entity
Organization
Contact information
Practice address
105 MAIN ST, SUITE 1, OLD SAYBROOK, CT 06475-2301
(860) 388-9774
Mailing address
105 MAIN ST, SUITE 1, OLD SAYBROOK, CT 06475-2301
(860) 388-9774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
006836
CT
Other
Enumeration date
06/18/2007
Last updated
08/22/2020
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