DR. Kory J Wilson, DDS

NPI #1053503995 in Spokane Valley, Washington

Provider Information

NPI Number: 1053503995
Entity Type: Individual
Name: DR. Kory J Wilson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 14, 2007
Last Updated: Aug 14, 2007

Practice Location

Address: 12121 E BROADWAY AVE BLDG III
City: Spokane Valley
State: Washington
ZIP Code: 99206-4972
Phone: (509) 928-3363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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