Individual
MR. DEAN WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
215 W JANSS RD, THOUSAND OAKS, CA 91360-1847
(805) 497-2727
Mailing address
PO BOX 98, AGOURA HILLS, CA 91376-0098
(818) 422-7246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
19199
CA
Other
Enumeration date
05/05/2006
Last updated
05/09/2024
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