DR. Ryan Scott Wilson, D.M.D

NPI #1679920482 in Lewisburg, West Virginia

Provider Information

NPI Number: 1679920482
Entity Type: Individual
Name: DR. Ryan Scott Wilson, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: May 22, 2016
Last Updated: May 22, 2016

Practice Location

Address: 3706 DAVIS STUART RD
City: Lewisburg
State: West Virginia
ZIP Code: 24901-9463
Phone: (304) 645-6124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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