Individual
DR. DONALD JARED WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1376 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2551
(843) 353-3405
Mailing address
1376 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2551
(606) 594-7449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9212
SC
Other
Enumeration date
07/30/2018
Last updated
09/26/2023
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