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Individual

DR. COURTNEY CHAD WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6301 W PARMER LN STE 606, AUSTIN, TX 78729-6807
(512) 918-0888
Mailing address
6301 W PARMER LN STE 606, AUSTIN, TX 78729-6807
(512) 918-0888

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24007
TX

Other

Enumeration date
06/04/2008
Last updated
02/01/2022
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