LARRY BERTRAM WILSON

RICHARDSON, TX
NPI1275541344
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  14836)
Enumeration Date2006-08-04
Last Update Date2007-07-08
Business Address
Dr. LARRY BERTRAM WILSON d.d.s.
721 W ARAPAHO RD #102
RICHARDSON, TX 75080-4155
Phone number: 972-234-4531
Mailing Address
Dr. LARRY BERTRAM WILSON d.d.s.
721 W ARAPAHO RD #102
RICHARDSON, TX 75080-4155
Phone number: 972-234-4531
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