DR. Dwight Clarence Wilson, D.M.D.

NPI #1023131349 in Hartford, Kentucky

Provider Information

NPI Number: 1023131349
Entity Type: Individual
Name: DR. Dwight Clarence Wilson, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Apr 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1117 S MAIN ST
City: Hartford
State: Kentucky
ZIP Code: 42347-1835
Phone: (270) 298-7923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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