Individual
DR. MITCHELL BARRY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3150 ERIE BOULEVARD EAST, DEWITT, NY 13214
(315) 446-7442
(315) 446-7449
Mailing address
101 DURSTON AVENUE, SYCRACUSE, NY 13203
(315) 476-9047
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33250
NY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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