Individual
KADIN K WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3725 W 4100 S, WEST VALLEY CITY, UT 84120-5411
(801) 969-8881
(801) 969-8889
Mailing address
1275 30TH ST, SAN DIEGO, CA 92154-3476
(619) 205-1950
(619) 205-1951
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9719126-9922
UT
Other
Enumeration date
04/04/2014
Last updated
02/25/2020
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