Larry J Wilson, DMD
NPI #1427174143 in Pascagoula, Mississippi
Provider Information
- NPI Number
- 1427174143
- Entity Type
- Individual
- Name
- Larry J Wilson, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2910 MELTON AVE
- City
- Pascagoula
- State
- Mississippi
- ZIP Code
- 39581-4120
- Phone
- (228) 762-9250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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