John Michael Wilson, D.M.D.

NPI #1861684722 in Bonifay, Florida

Provider Information

NPI Number: 1861684722
Entity Type: Individual
Name: John Michael Wilson, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Aug 15, 2007
Last Updated: Aug 15, 2007

Practice Location

Address: 110 E NORTH AVE
City: Bonifay
State: Florida
ZIP Code: 32425-1715
Phone: (850) 547-9290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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