JACK WILSON

PHOENIX, AZ
NPI1316002314
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: AZ  D6410)
Enumeration Date2006-12-27
Last Update Date2007-07-08
Business Address
Dr. JACK WILSON DMD
12320 N 32ND ST SUITE 1
PHOENIX, AZ 85032-7154
Phone number: 602-992-1384
Mailing Address
Dr. JACK WILSON DMD
29452 N 49TH WAY
CAVE CREEK, AZ 85331-3323
Phone number: 480-262-4412
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