GARY L WILSON

PROVO, UT
NPI1164589743
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  276251-9922)
Enumeration Date2007-01-02
Last Update Date2007-07-08
Business Address
Dr. GARY L WILSON D.M.D.
1355 N UNIVERSITY AVE STE 310
PROVO, UT 84604-2721
Phone number: 801-370-4040
Mailing Address
Dr. GARY L WILSON D.M.D.
1355 N UNIVERSITY AVE STE 310
PROVO, UT 84604-2721
Phone number: 801-370-4040