Individual
WILNER LOISEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1750 ALMA RD, SUITE 108, RICHARDSON, TX 75081-6725
(972) 720-9373
Mailing address
650 INTERNATIONAL PKWY, SUITE 100, RICHARDSON, TX 75081-6612
(972) 720-9373
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22356
TX
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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