Individual
DR. JOE R WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
205 RIO COMMUNITIES BLVD, BELEN, NM 87002-6146
(505) 864-3065
Mailing address
205 RIO COMMUNITIES BLVD, BELEN, NM 87002-6146
(505) 864-3065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD 1801
NM
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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