Organization
WILSON DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK ROGER WILSON DMD (PRESIDENT)
(205) 275-1450
Entity
Organization
Contact information
Practice address
1602 MOCKINGBIRD CT, FLORENCE, AL 35630-1552
(256) 764-9533
(256) 718-1013
Mailing address
1602 MOCKINGBIRD CT, FLORENCE, AL 35630-1552
(256) 764-9533
(256) 718-1013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D 6089 C1
AL
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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