Dr. Bruce T. Wilson D.d.s., PA

NPI #1821686684 in Manila, Arkansas

Provider Information

NPI Number: 1821686684
Entity Type: Organization
Organization Name: Dr. Bruce T. Wilson D.d.s., PA
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 7, 2021
Last Updated: Jan 7, 2021

Practice Location

Address: 3455 W STATE HIGHWAY 18
City: Manila
State: Arkansas
ZIP Code: 72442-8005
Phone: (870) 561-4400

Authorized Official

Name: TANYA MCCAIN
Title: OFFICE MANAGER
Phone: (870) 561-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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