Organization
RON D. WILSON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON D WILSON (OWNER)
(770) 536-0882
Entity
Organization
Contact information
Practice address
1220 SHERWOOD PARK DRIVE, GAINESVILLE, GA 30501-3445
(770) 536-0882
Mailing address
1220 SHERWOOD PARK DRIVE, GAINESVILLE, GA 30501-3445
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12912
GA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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