| NPI | 1174396105 |
|---|---|
| Former Legal Business Name | JAMES WILSON DMD LLC |
| Entity Type | Organization |
| Authorized Contact | JAMES P WILSON Owner/Periodontist 803-788-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2025-03-20 |