Loren G. Wilson D.d.s. P.c.

NPI #1275674426 in Eldorado, Illinois

Provider Information

NPI Number
1275674426
Entity Type
Organization
Organization Name
Loren G. Wilson D.d.s. P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 9, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1030 4TH ST
ZIP Code
62930-1702
Phone
(618) 273-9684

Authorized Official

Name
LOREN WILSON, D.D.S.
Title
PRESIDENT
Phone
(618) 273-9684

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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