David W. Wilson, Dmd, LLC

NPI #1629552369 in Enterprise, Alabama

Provider Information

NPI Number: 1629552369
Entity Type: Organization
Organization Name: David W. Wilson, Dmd, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 19, 2018
Last Updated: Sep 19, 2018

Practice Location

Address: 1008 BOLL WEEVIL CIR STE D
City: Enterprise
State: Alabama
ZIP Code: 36330-3400
Phone: (334) 417-0110

Authorized Official

Name: DAVID W. WILSON, DMD
Title: OWNER
Phone: (334) 417-0110

Specialties & Taxonomy Codes

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

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