WILSON PROFESSIONAL DENTAL CORPORATION

SAN JUAN CAPISTRANO, CA
NPI1497312888
Entity TypeOrganization
Authorized ContactMANDI LYNN WILSON
Dentist
903-330-4661
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-05-22
Last Update Date2019-05-22
Business Address
WILSON PROFESSIONAL DENTAL CORPORATION
31103 RANCHO VIEJO RD STE D5
SAN JUAN CAPISTRANO, CA 92675-1759
Phone number: 949-661-3380
Mailing Address
WILSON PROFESSIONAL DENTAL CORPORATION
21020 PACIFIC CITY CIR UNIT 2423
HUNTINGTON BEACH, CA 92648-8516
Phone number: 903-330-4661
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