Individual
DR. CHARLES ORIN WILSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
27392 CALLE ARROYO, SUITE A, SAN JUAN CAPISTRANO, CA 92675-6756
(949) 481-5000
(949) 481-9463
Mailing address
27392 CALLE ARROYO, SUITE A, SAN JUAN CAPISTRANO, CA 92675-6756
(949) 481-5000
(949) 481-9463
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22690
CA
Other
Enumeration date
07/26/2006
Last updated
10/19/2011
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