Individual
DR. DAVID G WILSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3440 CONWAY BLVD, SUITE # 1-B, PORT CHARLOTTE, FL 33952-7000
(941) 625-5141
(941) 625-5001
Mailing address
3440 CONWAY BLVD, SUITE # 1-B, PORT CHARLOTTE, FL 33952-7000
(941) 625-5141
(941) 625-5001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN4921
FL
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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