Organization
CARL CLINTON WILKINSON III, D.M.D., P.A.
Active
Other names
Clint Wilkinson, D.M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL CLINTON WILKINSON III D.M.D. (PRESIDENT)
(321) 254-4111
Entity
Organization
Contact information
Practice address
1300 W EAU GALLIE BLVD, SUITE B, MELBOURNE, FL 32935-5318
(321) 254-4111
(321) 254-0071
Mailing address
1300 W EAU GALLIE BLVD, SUITE B, MELBOURNE, FL 32935-5318
(321) 254-4111
(321) 254-0071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9357
FL
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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