David G Wilson Dmd LLC
NPI #1154773489 in Selinsgrove, Pennsylvania
Provider Information
- NPI Number
- 1154773489
- Entity Type
- Organization
- Organization Name
- David G Wilson Dmd LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DAVID G WILSON DMD LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 11, 2016
- Last Updated
- Oct 20, 2016
Practice Location
- Address
- 1372 N SUSQUEHANNA TRL STE 140
- City
- Selinsgrove
- State
- Pennsylvania
- ZIP Code
- 17870-8973
- Phone
- (570) 743-8119
Authorized Official
- Name
- DR. DAVID G WILSON, DMD
- Title
- OWNER/ORTHODONTIST
- Phone
- (570) 850-8119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Dentist |
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