Individual
DR. DAVID LAWRENCE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
14300 SW PACIFIC HWY, TIGARD, OR 97224-3665
(503) 639-4330
(503) 639-5400
Mailing address
14300 SW PACIFIC HWY, TIGARD, OR 97224-3665
(503) 639-4330
(503) 639-5400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7743
OR
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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