JACK L WILSON

SIOUX FALLS, SD
NPI1497949929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: SD  M470)
Enumeration Date2007-08-28
Last Update Date2012-03-06
Business Address
DR. JACK L WILSON D.D.S.
1721 S CLEVELAND AVE SUITE 100
SIOUX FALLS, SD 57103-5501
Phone number: 605-978-9000
Mailing Address
DR. JACK L WILSON D.D.S.
1721 S CLEVELAND AVE SUITE 100
SIOUX FALLS, SD 57103-5501
Phone number: 605-978-9000
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