Individual
DR. PATRICK ROGER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1602 MOCKINGBIRD CT, FLORENCE, AL 35630-1552
(256) 764-9533
(256) 718-1013
Mailing address
1602 MOCKINGBIRD CT, FLORENCE, AL 35630-1552
(256) 764-9533
(256) 718-1013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D 6089 C1
AL
Other
Enumeration date
07/07/2013
Last updated
07/08/2016
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