Richard A Wilson, DDS

NPI #1932228061 in Morton Grove, Illinois

Provider Information

NPI Number: 1932228061
Entity Type: Individual
Name: Richard A Wilson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6007 DEMPSTER ST
City: Morton Grove
State: Illinois
ZIP Code: 60053-2943
Phone: (847) 966-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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