Individual
DR. CHARLES WILLIAM WILCOX
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0001
(402) 280-5080
(402) 280-5094
Mailing address
1000 DEVON DR, PAPILLION, NE 68046-3807
(402) 593-8136
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
4230
NE
Other
Enumeration date
05/24/2005
Last updated
07/08/2007
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