Myron Keith Wilson, DDS

NPI #1801969910 in Bristol, Tennessee

Provider Information

NPI Number: 1801969910
Entity Type: Individual
Name: Myron Keith Wilson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 739 BLUFF CITY HWY
City: Bristol
State: Tennessee
ZIP Code: 37620-4637
Phone: (423) 652-2624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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