Kelly Jay Wilson, DDS
NPI #1942338819 in Rocklin, California
Provider Information
- NPI Number
- 1942338819
- Entity Type
- Individual
- Name
- Kelly Jay Wilson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Mar 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5800 STANFORD RANCH RD
- Address 2
- BLDG #900
- City
- Rocklin
- State
- California
- ZIP Code
- 95765-4385
- Phone
- (916) 663-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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