DR. Fred H Wilson III, DDS
NPI #1811049570 in Canyon Lake, Texas
Provider Information
- NPI Number
- 1811049570
- Entity Type
- Individual
- Name
- DR. Fred H Wilson III, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1395 SATTLER RD STE 4
- City
- Canyon Lake
- State
- Texas
- ZIP Code
- 78132-2296
- Phone
- (830) 964-3161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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|---|---|
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