Individual
DR. GREGORY ALAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
710 FEDERAL DR, SELMER, TN 38375
(731) 434-1010
Mailing address
710 FEDERAL DR, SELMER, TN 38375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9523
TN
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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