GARY ALAN WILSON

POLACCA, AZ
NPI1285635946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  104357)
Enumeration Date2005-08-03
Last Update Date2012-08-08
Business Address
Dr. GARY ALAN WILSON DDS
HIGHWAY 264, MILEPOST 388
POLACCA, AZ 86042-6042
Phone number: 928-737-6000
Mailing Address
Dr. GARY ALAN WILSON DDS
HIGHWAY 264, MP 388
POLACCA, AZ 86042
Phone number: 928-737-6000