Leonard B Wilson Dmd PC

NPI #1881077329 in Roseburg, Oregon

Provider Information

NPI Number
1881077329
Entity Type
Organization
Organization Name
Leonard B Wilson Dmd PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 1, 2015
Last Updated
Jul 1, 2015

Practice Location

Address
1333 W HARVARD AVE
State
Oregon
ZIP Code
97471-2838
Phone
(541) 672-2747

Authorized Official

Name
DR. LEONARD BEVER WILSON, DMD
Title
OWNER
Phone
(541) 672-2747

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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