Organization
WILSON FAMILY DENTISTRY PC
Active
Other names
Richard L Wilson DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LYMAN WILSON DDS (DENTIST)
(970) 247-5565
Entity
Organization
Contact information
Practice address
102 HALF 18TH ST, DURANGO, CO 81301
(970) 247-5565
(970) 247-8988
Mailing address
102 HALF 18TH ST, DURANGO, CO 81301
(970) 247-5565
(970) 247-8988
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7355
CO
Other
Enumeration date
11/27/2006
Last updated
08/22/2020
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