Organization
DR J BRAD WILSON & DR KIM BADELL WILSON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J BRAD WILSON DDS (OWNER)
(812) 482-1855
Entity
Organization
Contact information
Practice address
288 NORTHWOOD AVE, JASPER, IN 47546-1212
(812) 482-1855
(812) 634-6833
Mailing address
288 NORTHWOOD AVE, JASPER, IN 47546-1212
(812) 482-1855
(812) 634-6833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8244
IN
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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