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Individual

DR. CLIFTON M WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
103 PLANTERS DR, DARLINGTON, SC 29532
(843) 393-8401
Mailing address
103 PLANTERS DR, DARLINGTON, SC 29532

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2149
SC

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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