Organization
EUGENE ENDODOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EARL WILSON DDS (OWNER)
(541) 484-9018
Entity
Organization
Contact information
Practice address
2233 WILLAMETTE ST STE E, EUGENE, OR 97405-2890
(541) 484-9018
(541) 345-8037
Mailing address
2233 WILLAMETTE ST., SUITE E, EUGENE, OR 97405-2890
(541) 484-9018
(541) 345-8037
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
8541
OR
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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