Gavin B Wilson, DDS
NPI #1013445386 in Raton, New Mexico
Provider Information
- NPI Number
- 1013445386
- Entity Type
- Individual
- Name
- Gavin B Wilson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 31, 2017
- Last Updated
- May 31, 2017
Practice Location
- Address
- 217 YORK CANYON RD
- City
- Raton
- State
- New Mexico
- ZIP Code
- 87740-2008
- Phone
- (575) 445-8370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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