C. Todd Wilson D.d.s.p.c.

NPI #1316164056 in Sherwood, Oregon

Provider Information

NPI Number
1316164056
Entity Type
Organization
Organization Name
C. Todd Wilson D.d.s.p.c.
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Apr 20, 2007
Last Updated
Jan 24, 2012

Practice Location

Address
17680 SW HANDLEY STREET
Address 2
SUITE 202
State
Oregon
ZIP Code
97140-8795
Phone
(503) 925-1566

Authorized Official

Name
MRS. DAVA J. WILSON
Title
OFFICE MANAGER
Phone
(503) 925-1566

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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