DR. Keith Peter Wilson, DDS

NPI #1346391976 in Peotone, Illinois

Provider Information

NPI Number: 1346391976
Entity Type: Individual
Name: DR. Keith Peter Wilson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 211 N SECOND ST
Address 2: PO 727
City: Peotone
State: Illinois
ZIP Code: 60468-8837
Phone: (708) 258-3331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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