Russell C Wilson DDS a Professional Dental Corporation
NPI #1760936603 in Atascadero, California
Provider Information
- NPI Number
- 1760936603
- Entity Type
- Organization
- Organization Name
- Russell C Wilson DDS a Professional Dental Corporation
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 9, 2016
- Last Updated
- Aug 9, 2016
Practice Location
- Address
- 7005 ATASCADERO AVE
- City
- Atascadero
- State
- California
- ZIP Code
- 93422-4431
- Phone
- (805) 466-3328
Authorized Official
- Name
- DR. RUSSELL C WILSON, D.D.S.
- Title
- PRESIDENT
- Phone
- (805) 466-3328
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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