Individual
DR. HARLAN JOSEPH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
16 HAMPTON VILLAGE PLZ STE 278, SAINT LOUIS, MO 63109-2128
(314) 352-4820
(314) 352-6866
Mailing address
16 HAMPTON VILLAGE PLZ STE 278, SAINT LOUIS, MO 63109-2128
(314) 352-4820
(314) 352-6866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013008
MO
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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