Organization
GREAT OUTDOORS PEDIATRIC DENTISTRY
Active
Other names
Patrick T Wilson PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK T WILSON DMD (OWNER, PRESIDENT)
(303) 913-9951
Entity
Organization
Contact information
Practice address
6 OLD ROCHESTER RD, 301, DOVER, NH 03820-2027
(603) 343-1228
Mailing address
6 OLD ROCHESTER RD, 301, DOVER, NH 03820-2027
(603) 343-1228
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
04093
NH
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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