Individual
DR. RAYMOND CARL WILBUR SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
108 N 3RD AVE, VIRGINIA, MN 55792-2519
(218) 741-9251
(218) 741-1747
Mailing address
PO BOX 1247, VIRGINIA, MN 55792-1247
(218) 741-9251
(218) 741-1747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10169
MN
122300000X
Dentist
Primary
D10169
MN
Other
Enumeration date
03/16/2009
Last updated
07/21/2022
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