Individual
DR. ROBERT JAMES WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9 DESELLUM AVE, GAITHERSBURG, MD 20877
(301) 926-1511
(301) 948-3553
Mailing address
9 DESELLUM AVE, GAITHERSBURG, MD 28877
(301) 926-1511
(301) 948-3553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
09129
MD
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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