Individual
DONALD L. WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S. P.C.
Contact information
Practice address
18275 N 59TH AVE STE 114 BLDG C, GLENDALE, AZ 85308-1252
(602) 978-1790
(602) 978-5211
Mailing address
18275 N 59TH AVE STE 114 BLDG C, GLENDALE, AZ 85308-1252
(602) 978-1790
(602) 978-5211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3441
AZ
Other
Enumeration date
02/08/2007
Last updated
02/24/2011
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