Rc & Sa Wilson DDS PC

NPI #1114063443 in Omaha, Nebraska

Provider Information

NPI Number: 1114063443
Entity Type: Organization
Organization Name: Rc & Sa Wilson DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 30, 2007
Last Updated: Jun 12, 2008

Practice Location

Address: 13215 BIRCH DR
Address 2: SUITE 101
City: Omaha
State: Nebraska
ZIP Code: 68164-5431
Phone: (402) 498-8804

Authorized Official

Name: HEIDI HACKEL
Title: OFFICE MANAGER
Phone: (402) 498-8804

Specialties & Taxonomy Codes

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

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