Charles L. Wilson, Dds, Inc.

NPI #1962784454 in Lyndhurst, Ohio

Provider Information

NPI Number
1962784454
Entity Type
Organization
Organization Name
Charles L. Wilson, Dds, Inc.
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 12, 2011
Last Updated
Sep 12, 2011

Practice Location

Address
5231 MAYFIELD RD
State
Ohio
ZIP Code
44124-2477
Phone
(440) 442-5990

Authorized Official

Name
DR. CHARLES LAWRENCE WILSON, DDS
Title
PRESIDENT
Phone
(440) 442-5990

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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