Individual
TIMOTHY GERARD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1118 KLICK WAY, HAGERSTOWN, MD 21742-3469
(301) 733-5230
(301) 733-6169
Mailing address
1118 KLICK WAY, HAGERSTOWN, MD 21742-3469
(301) 733-5230
(301) 733-6169
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11543
MD
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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