Individual
DR. DANIEL DOUGLAS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 N CORNELL AVE, FULLERTON, CA 92831-2744
(714) 526-7800
Mailing address
501 N CORNELL AVE, FULLERTON, CA 92831-2744
(714) 526-7800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30494DENTIST
CA
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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