Brian L Wilson, D.M.D.

NPI #1740288034 in Corvallis, Oregon

Provider Information

NPI Number: 1740288034
Entity Type: Individual
Name: Brian L Wilson, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Endodontics
Credential: D.M.D.
Enumeration Date: Jul 11, 2005
Last Updated: Jan 24, 2014

Practice Location

Address: 2350 NW CENTURY DR
Address 2: STE #200
City: Corvallis
State: Oregon
ZIP Code: 97330-3495
Phone: (541) 768-0419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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