Benjamin Wilson, DDS

NPI #1790905800 in Independence, Missouri

Provider Information

NPI Number: 1790905800
Entity Type: Individual
Name: Benjamin Wilson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Apr 30, 2007
Last Updated: Jun 5, 2014

Practice Location

Address: 1619 W US HIGHWAY 24
City: Independence
State: Missouri
ZIP Code: 64050-2345
Phone: (816) 461-0055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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