Individual
DR. DAVID BRUCE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
115 E THOMAS ST, RICE LAKE, WI 54868-3055
(715) 234-4636
(715) 234-2982
Mailing address
115 E THOMAS ST, RICE LAKE, WI 54868-3055
(715) 234-4636
(715) 234-2982
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
W2365
WI
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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