NPI | 1184116162 |
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Doing Business As | DR. LILA P. WILSON DDS, INC. |
Entity Type | Organization |
Authorized Contact | LILA P WILSON General Dentist/ President 530-605-3350 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 60306) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2018-06-05 |