DR. Timothy Lea Wilson, D.D.S.

NPI #1962773002 in Grove City, Ohio

Provider Information

NPI Number
1962773002
Entity Type
Individual
Name
DR. Timothy Lea Wilson, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jan 20, 2012
Last Updated
Jan 20, 2012

Practice Location

Address
2655 COLUMBUS ST
State
Ohio
ZIP Code
43123-2804
Phone
(614) 875-6601

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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