John Gordon Wilson, L.D.
NPI #1023347945 in Baker City, Oregon
Provider Information
- NPI Number
- 1023347945
- Entity Type
- Individual
- Name
- John Gordon Wilson, L.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Denturist
- Credential
- L.D.
- Enumeration Date
- Dec 24, 2009
- Last Updated
- Feb 2, 2012
Practice Location
- Address
- 715 NICOLE WAY
- City
- Baker City
- State
- Oregon
- ZIP Code
- 97814-6183
- Phone
- (541) 523-8529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Denturist |
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