Russell Clayton Wilson, DDS
NPI #1205844230 in Visalia, California
Provider Information
- NPI Number
- 1205844230
- Entity Type
- Individual
- Name
- Russell Clayton Wilson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2738 W MAIN ST
- City
- Visalia
- State
- California
- ZIP Code
- 93291-4332
- Phone
- (559) 732-3972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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