Organization
RONALD E. WILSON, D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADRIENNE A. WILSON (SEC. TREAS.)
(770) 433-2820
Entity
Organization
Contact information
Practice address
1295 TERRELL MILL RD SE, SUITE 102, MARIETTA, GA 30067-9438
(770) 952-5200
Mailing address
2267 EDGARTOWN LN SE, SMYRNA, GA 30080-6575
(770) 433-2820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7823
GA
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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