C Thomas Wilson, DDS

NPI #1841404969 in Sister Bay, Wisconsin

Provider Information

NPI Number: 1841404969
Entity Type: Individual
Name: C Thomas Wilson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 9, 2007
Last Updated: Jul 25, 2008

Practice Location

Address: 703 S BAY SHORE DR
Address 2: SUITE #4
City: Sister Bay
State: Wisconsin
ZIP Code: 54234
Phone: (920) 854-5200

Specialties & Taxonomy Codes

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

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