| John Wilson Dds, Pllc | |
|
2005 Pine St Sandpoint ID 83864-9327 | |
| (509) 949-8147 | |
| Not Available |
| Full Name | John Wilson Dds, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2005 Pine St, Sandpoint, Idaho |
| Authorized Official Name and Position | John Wilson (DENTIST) |
| Authorized Official Contact | 5099498147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Wilson Dds, Pllc Po Box 327 Connell WA 99326-0327 Ph: () - | John Wilson Dds, Pllc 2005 Pine St Sandpoint ID 83864-9327 Ph: (509) 949-8147 |
| NPI Number | 1184006074 |
|---|---|
| Provider Enumeration Date | 06/26/2015 |
| Last Update Date | 06/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184006074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D-4649 (Idaho) | Primary |
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