Individual
DR. JEFFREY ALLEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 WEST MAIN STREET, BREMEN, OH 43107
(740) 569-7563
Mailing address
101 WEST MAIN STREET, BREMEN, OH 43107
(740) 569-7563
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3097705
OH
Other
Enumeration date
11/17/2006
Last updated
06/05/2024
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