Individual
DR. TYLER M. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2151 S COLLEGE DR STE 104, SANTA MARIA, CA 93455-1304
(805) 925-1440
Mailing address
2151 S COLLEGE DR STE 104, SANTA MARIA, CA 93455-1304
(805) 925-1440
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
53295
CA
Other
Enumeration date
04/04/2008
Last updated
07/16/2008
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