Bruce T Wilson, D.D.S.

NPI #1962561290 in Manila, Arkansas

Provider Information

NPI Number
1962561290
Entity Type
Individual
Name
Bruce T Wilson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Dec 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
322 HWY 18
City
Manila
ZIP Code
72442
Phone
(870) 561-4400

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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