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Individual

RILEY WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
206 N MAIN ST, BRINKLEY, AR 72021-2822
(870) 734-2700
Mailing address
PO BOX 3450, LITTLE ROCK, AR 72203-3450

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4167
AR

Other

Enumeration date
07/26/2017
Last updated
07/26/2017
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