Individual
DAVID BRIAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
82 E BEAVER CREEK BLVD, AVON, CO 81620-6669
(970) 949-4433
Mailing address
PO BOX 6669, AVON, CO 81620-6669
(970) 949-4433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105999
CO
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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