Organization
DAVID W. WILSON, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W. WILSON DMD (OWNER)
(334) 417-0110
Entity
Organization
Contact information
Practice address
1008 BOLL WEEVIL CIR STE D, ENTERPRISE, AL 36330-3400
(334) 417-0110
Mailing address
1008 BOLL WEEVIL CIR STE D, ENTERPRISE, AL 36330-3400
(334) 417-0110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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