Individual
DR. ROBERT C. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13215 BIRCH DR, SUITE 101, OMAHA, NE 68164-5431
(402) 498-8804
Mailing address
500 S ALEXANDER AVE, CLAY CENTER, NE 68933-1504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5248
NE
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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