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Individual

DR. GLENN M WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
146 DANBURY RD, SUITE C, NEW MILFORD, CT 06776-3427
(860) 354-3737
(860) 350-2927
Mailing address
146 DANBURY RD, SUITE C, NEW MILFORD, CT 06776-3427
(860) 354-3737
(860) 350-2927

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7524
CT

Other

Enumeration date
08/10/2005
Last updated
07/08/2007
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