Individual
DR. RONALD STANLEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
140 MALL CONNECTOR RD, SUITE 6A, GREENVILLE, SC 29607
(864) 244-7135
(864) 268-2428
Mailing address
140 MALL CONNECTOR RD, SUITE 6A, GREENVILLE, SC 29607
(864) 244-7135
(864) 268-2428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3603
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3603
—
SC
Enumeration date
10/17/2006
Last updated
07/27/2011
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