Individual
DR. DAVID WILLIAM WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2862 FARRELL CRES, OWENSBORO, KY 42303-1392
(270) 684-3610
(270) 684-3914
Mailing address
2862 FARRELL CRES, OWENSBORO, KY 42303-1392
(270) 684-3610
(270) 684-3914
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5996
KY
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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