DR. Jeremy T Wilson, DMD

NPI #1023186095 in North Las Vegas, Nevada

Provider Information

NPI Number: 1023186095
Entity Type: Individual
Name: DR. Jeremy T Wilson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 30, 2006
Last Updated: Jun 15, 2016

Practice Location

Address: 2301 E LAKE MEAD BLVD
City: North Las Vegas
State: Nevada
ZIP Code: 89030-7137
Phone: (702) 331-8338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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