| NPI | 1407164734 |
|---|---|
| Doing Business As | SCOTT WILSON DDS |
| Entity Type | Organization |
| Authorized Contact | SCOTT PAUL WILSON President 620-276-7681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60633) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |