DR. Russell Thomas Wilson, DDS, MSD

NPI #1154109825 in Post Falls, Idaho

Provider Information

NPI Number
1154109825
Entity Type
Individual
Name
DR. Russell Thomas Wilson, DDS, MSD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
DDS, MSD
Enumeration Date
Sep 14, 2023
Last Updated
May 13, 2025

Practice Location

Address
602 N CALGARY CT STE 302
State
Idaho
ZIP Code
83854-4000
Phone
(208) 777-0500

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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