Individual
DR. DAVID LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1100 FLORIDA AVE, NEW ORLEANS, LA 70119-2714
(504) 941-8390
Mailing address
1100 FLORIDA AVE, NEW ORLEANS, LA 70119-2714
(504) 941-8390
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
S686
LA
Other
Enumeration date
03/09/2013
Last updated
03/09/2013
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