Individual
DR. ADRIAN JOHNSTON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14300 RIDGE VIEW LN, LAUREL, MD 20707-6278
(443) 280-0968
Mailing address
14300 RIDGE VIEW LN, LAUREL, MD 20707-6278
(443) 280-0968
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14704
MD
Other
Enumeration date
06/12/2009
Last updated
06/09/2020
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