DR. Thomas G. Wilson JR., D.D.S.

NPI #1124011002 in Dallas, Texas

Provider Information

NPI Number
1124011002
Entity Type
Individual
Name
DR. Thomas G. Wilson JR., D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - Periodontics
Credential
D.D.S.
Enumeration Date
Aug 26, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
5465 BLAIR RD
Address 2
SUITE 200
City
Dallas
State
Texas
ZIP Code
75231-4100
Phone
(214) 691-2404

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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