Organization
WILKINSON ORTHODONTICS
Active
Other names
Dr. David Lloyd Wilkinson DDS, MS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L WILKINSON DDS, MS (OWNER)
(208) 746-0479
Entity
Organization
Contact information
Practice address
3326 4TH ST, SUITE 5, LEWISTON, ID 83501-5890
(208) 746-0479
(208) 798-3000
Mailing address
3326 4TH ST, SUITE 5, LEWISTON, ID 83501-5890
(208) 746-0479
(208) 798-3000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5045588
—
WA
05
—
806660900
—
ID
Enumeration date
06/10/2011
Last updated
06/10/2011
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