Organization
DAVID L. WILSON, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L WILSON DMD (OWNER)
(503) 639-4330
Entity
Organization
Contact information
Practice address
14300 SW PACIFIC HWY, TIGARD, OR 97224-3790
(503) 639-4330
(503) 639-5400
Mailing address
14300 SW PACIFIC HWY, TIGARD, OR 97224-3790
(503) 639-4330
(503) 639-5400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7743
OR
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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