Individual
MR. MATTHEW JOSEPH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8445 W FLAMINGO RD, LAS VEGAS, NV 89147-4166
(702) 309-0909
Mailing address
8445 W FLAMINGO RD, LAS VEGAS, NV 89147-4166
(702) 309-0909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6641
NV
Other
Enumeration date
09/02/2009
Last updated
07/08/2015
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