Individual
WILLIAM WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2827 E MILLENNIUM PL STE 3, FAYETTEVILLE, AR 72703-6528
(479) 313-7373
(479) 313-7379
Mailing address
2827 E MILLENNIUM PL STE 3, FAYETTEVILLE, AR 72703-6528
(479) 313-7373
(479) 313-7379
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4147
AR
Other
Enumeration date
04/22/2016
Last updated
10/16/2020
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