Individual
TIMOTHY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6868 E BECKER LN, SUITE 101, SCOTTSDALE, AZ 85254-6708
(480) 556-0600
(480) 948-5339
Mailing address
6868 E BECKER LN, SUITE 101, SCOTTSDALE, AZ 85254-6708
(480) 556-0600
(480) 948-5339
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5621
AZ
Other
Enumeration date
09/20/2006
Last updated
05/07/2008
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