DR. Brian Leroy Wilson, D.D.S.

NPI #1902011919 in Canyon, Texas

Provider Information

NPI Number
1902011919
Entity Type
Individual
Name
DR. Brian Leroy Wilson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
May 12, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1801 4TH AVE
City
Canyon
State
Texas
ZIP Code
79015-3853
Phone
(806) 655-1104

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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