Individual
DR. CLINTON ARLIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6301 W 41ST ST, SIOUX FALLS, SD 57106-1217
(605) 305-4141
Mailing address
6301 W 41ST ST, SIOUX FALLS, SD 57106-1217
(605) 305-4141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1262
SD
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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