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Individual

DR. LARRY DON WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2247 HELTON DR, FLORENCE, AL 35630-1063
(256) 767-3228
(256) 767-3240
Mailing address
2247 HELTON DR, FLORENCE, AL 35630-1063
(256) 767-3228
(256) 767-3240

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3465
AL

Other

Enumeration date
10/10/2006
Last updated
08/18/2008
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