Individual
DR. PAUL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4032 BALMORAL DR SW, HUNTSVILLE, AL 35801-6402
(720) 936-9168
Mailing address
108 MEADOWGLADE LN, MADISON, AL 35758-6851
(720) 936-9168
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
00203968
CO
1223D0004X
Dental Anesthesiology
Primary
D-0007020-C
AL
Other
Enumeration date
01/31/2016
Last updated
09/19/2022
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