D. RICHARD WILSON

PORTLAND, OR
NPI1417965757
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  4804)
Enumeration Date2006-08-03
Last Update Date2007-07-08
Business Address
-- D. RICHARD WILSON DDS,PC
5835 NE ALAMEDA ST
PORTLAND, OR 97213-3425
Phone number: 503-281-5076
Mailing Address
-- D. RICHARD WILSON DDS,PC
5835 NE ALAMEDA ST
PORTLAND, OR 97213-3425
Phone number: 503-281-5076
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