Individual
PHILIP MICHAEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
690 SW HIGGINS AVE STE H, MISSOULA, MT 59803-1433
(406) 543-3159
Mailing address
1001 COONEY RIDGE RD, FLORENCE, MT 59833-6677
(936) 615-1792
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27341
MT
Other
Enumeration date
07/23/2007
Last updated
01/28/2025
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