DR. Leonard Wilson, D.M.D.

NPI #1639550239 in Roseburg, Oregon

Provider Information

NPI Number
1639550239
Entity Type
Individual
Name
DR. Leonard Wilson, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Jun 9, 2015
Last Updated
Jun 9, 2015

Practice Location

Address
1333 W HARVARD AVE
State
Oregon
ZIP Code
97471-2838
Phone
(541) 672-2747

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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