DR. Mitchell Barry Wilson, DMD

NPI #1831214956 in Dewitt, New York

Provider Information

NPI Number: 1831214956
Entity Type: Individual
Name: DR. Mitchell Barry Wilson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3150 ERIE BOULEVARD EAST
City: Dewitt
State: New York
ZIP Code: 13214
Phone: (315) 446-7442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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