DR. Thomas Gregory Wilson, DDS

NPI #1881817625 in Bolivar, Tennessee

Provider Information

NPI Number
1881817625
Entity Type
Individual
Name
DR. Thomas Gregory Wilson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Apr 10, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
105 SOUTH PORTER STREET
ZIP Code
38008-1734
Phone
(731) 658-5313

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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