MR. Jack Anthony Wilson, RDHAP
NPI #1043216807 in National City, California
Provider Information
- NPI Number
- 1043216807
- Entity Type
- Individual
- Name
- MR. Jack Anthony Wilson, RDHAP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dental Hygienist
- Credential
- RDHAP
- Enumeration Date
- Jun 24, 2005
- Last Updated
- Jul 15, 2014
Practice Location
- Address
- 2654 STACEY WAY
- City
- National City
- State
- California
- ZIP Code
- 91950-7760
- Phone
- (559) 289-8293
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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