Gene Ray Wilson, DDS
NPI #1265527352 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1265527352
- Entity Type
- Individual
- Name
- Gene Ray Wilson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Mar 1, 2012
Practice Location
- Address
- 1407 N WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-0157
- Phone
- (573) 778-3042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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