RYAN NEIL WILSON

SPOKANE, WA
NPI1215185814
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WA  DE60076403)
Additional Taxonomies122300000X Dentist
(Licence: CA  57421)
Enumeration Date2008-09-08
Last Update Date2015-10-08
Business Address
-- RYAN NEIL WILSON DDS
3143 E 29TH AVE
SPOKANE, WA 99223-4815
Phone number: 509-536-5900
Mailing Address
-- RYAN NEIL WILSON DDS
3143 E 29TH AVE
SPOKANE, WA 99223-4815
Phone number: 509-536-5900