DAN R WILSON DDS PC

LEWISTON, ID
NPI1578304432
Entity TypeOrganization
Authorized ContactMERCEDES FIGUEROA
Credentialing Specialist
623-289-3392
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-06-04
Last Update Date2024-06-04
Business Address
DAN R WILSON DDS PC
638 BRYDEN AVE
LEWISTON, ID 83501-5169
Phone number: 208-743-5032
Mailing Address
DAN R WILSON DDS PC
19601 N BLACK CANYON HWY # 201
PHOENIX, AZ 85027-4107
Phone number: 623-289-3392
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