Individual
DR. JOSEPH HENRY WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5005 SIGNAL BELL CT, SUITE 101, CLARKSVILLE, MD 21029-2606
(443) 535-8940
Mailing address
7309 ROCKY CREEK DR, COLUMBIA, MD 21046-1281
(410) 290-8277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12406
MD
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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