JOHN JOSEPH WILSON

SANDPOINT, ID
NPI1205182003
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4649)
Additional Taxonomies122300000X Dentist
(Licence: WA  DE60289676)
Enumeration Date2012-07-30
Last Update Date2015-09-21
Business Address
Dr. JOHN JOSEPH WILSON DDS
2005 PINE ST
SANDPOINT, ID 83864-9327
Phone number: 208-263-8535
Mailing Address
Dr. JOHN JOSEPH WILSON DDS
2005 PINE ST
SANDPOINT, ID 83864-9327
Phone number: 208-263-8535
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