Organization
STEVEN L. WILSON, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LEE WILSON D.D.S. (PRESIDENT)
(620) 665-5200
Entity
Organization
Contact information
Practice address
210 E 30TH AVE, SUITE 140, HUTCHINSON, KS 67502-2475
(620) 665-5200
(620) 665-5202
Mailing address
210 E 30TH AVE, SUITE 140, HUTCHINSON, KS 67502-2475
(620) 665-5200
(620) 665-5202
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6598
KS
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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