Organization
PETER JOHN WILSON DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JOHN WILSON DMD (MANAGER)
(330) 780-9747
Entity
Organization
Contact information
Practice address
435 YORK ST, YORK HARBOR, ME 03911
(207) 363-2166
Mailing address
4 PORTLAND AVE APT 3, DOVER, NH 03820-6508
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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