Individual
DR. STUART D. WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1320 N 600 E STE 3, LOGAN, UT 84341-2474
(435) 752-5681
(435) 752-5744
Mailing address
1320 N 600 E STE 3, LOGAN, UT 84341-2474
(435) 752-5681
(435) 752-5744
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
139690-9924
UT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
139690-9924
UT
Other
Enumeration date
02/02/2007
Last updated
08/06/2015
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