J. Calvin Wilson, Dds, PC

NPI #1912057258 in Flora, Illinois

Provider Information

NPI Number: 1912057258
Entity Type: Organization
Organization Name: J. Calvin Wilson, Dds, PC
Primary Specialty: Clinic/Center
Enumeration Date: Jan 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 317 E NORTH AVE
City: Flora
State: Illinois
ZIP Code: 62839-2040
Phone: (618) 662-6907

Authorized Official

Name: DR. JON CALVIN WILSON, DDS
Title: PRESIDENT
Phone: (618) 662-6907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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