Organization
WILSON PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO PRADO (DENTIST)
(252) 291-4300
Entity
Organization
Contact information
Practice address
2401 WOOTEN BLVD SW, SUITE F, WILSON, NC 27893-4464
(252) 291-4300
(252) 291-2337
Mailing address
2401 WOOTEN BLVD SW, SUITE F, WILSON, NC 27893-4464
(252) 291-4300
(252) 291-2337
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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