| NPI | 1477636280 |
|---|---|
| Former Legal Business Name | SHAWN K WILSON DDS |
| Entity Type | Organization |
| Authorized Contact | SHAWN KEVIN WILSON Owner Operator 530-222-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 032518) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2014-10-02 |