DR. Craig Stephen Wilson, DDS

NPI #1083748545 in Old Saybrook, Connecticut

Provider Information

NPI Number: 1083748545
Entity Type: Individual
Name: DR. Craig Stephen Wilson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 105 MAIN ST
Address 2: SUITE 1
City: Old Saybrook
State: Connecticut
ZIP Code: 06475-2301
Phone: (860) 388-9774

Specialties & Taxonomy Codes

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

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