Dan R Wilson DDS PC
NPI #1578304432 in Lewiston, Idaho
Provider Information
- NPI Number
- 1578304432
- Entity Type
- Organization
- Organization Name
- Dan R Wilson DDS PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 4, 2024
- Last Updated
- Jun 4, 2024
Practice Location
Authorized Official
- Name
- MERCEDES FIGUEROA
- Title
- CREDENTIALING SPECIALIST
- Phone
- (623) 289-3392
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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