Neil S Wilensky DDS INC

NPI #1669580486 in Fort Bragg, California

Provider Information

NPI Number: 1669580486
Entity Type: Organization
Organization Name: Neil S Wilensky DDS INC
Primary Specialty: Dentist
Enumeration Date: Aug 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 895 RIVER DRIVE
City: Fort Bragg
State: California
ZIP Code: 95437-5441
Phone: (707) 961-4270

Authorized Official

Name: DR. NEIL STEVEN WILENSKY, DDS
Title: OWNER PRESIDENT OF CORPORATION
Phone: (707) 961-4270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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