Individual
JAMES L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10 E CHURCH ST, MARTINSVILLE, VA 24112-6204
(276) 632-4600
(276) 632-9549
Mailing address
PO BOX 1064, 10 EAST CHURCH STREET, MARTINSVILLE, VA 24114-1064
(276) 632-4600
(276) 632-9549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005581
VA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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