Individual
DR. JOHN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10801 KITTY DRIVE, CONIFER, CO 80433
(303) 838-7904
(303) 838-0318
Mailing address
10801 KITTY DRIVE, CONIFER, CO 80433
(303) 838-7904
(303) 838-0318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
686
CO
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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