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Individual

DR. JOSEPH A. WILSON

Active
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Individual

DR. JOSEPH A. WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MSD, LLC

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
49293029922
UT
122300000X
Dentist
DD3399
NM
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
49293029922
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD3399
NM

Other

Enumeration date
11/15/2010
Last updated
02/07/2011
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