Shawn K Wilson DDS INC

NPI #1477636280 in Redding, California

Provider Information

NPI Number: 1477636280
Entity Type: Organization
Organization Name: Shawn K Wilson DDS INC
Primary Specialty: Dentist
Enumeration Date: Oct 23, 2006
Last Updated: Oct 2, 2014

Practice Location

Address: 3110 CHURN CREEK ROAD
City: Redding
State: California
ZIP Code: 96002
Phone: (530) 222-0515

Authorized Official

Name: DR. SHAWN KEVIN WILSON, DDS
Title: OWNER OPERATOR
Phone: (530) 222-0515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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