| Wilson Dentistry, Inc. | |
|
1063 N. D St San Bernardino CA 92410 | |
| (909) 233-7250 | |
| Not Available |
| Full Name | Wilson Dentistry, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1063 N. D St, San Bernardino, California |
| Authorized Official Name and Position | Karen L Butler (BUSINESS MANAGER) |
| Authorized Official Contact | 6072381280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Dentistry, Inc. 1063 N D St San Bernardino CA 92410-3539 Ph: (909) 233-7250 | Wilson Dentistry, Inc. 1063 N. D St San Bernardino CA 92410 Ph: (909) 233-7250 |
| NPI Number | 1467852269 |
|---|---|
| Provider Enumeration Date | 08/28/2014 |
| Last Update Date | 12/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467852269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 62234 (New York) | Primary |
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