COREY J WILSON

INDIANAPOLIS, IN
NPI1598287617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: IN  12012788A)
Additional Taxonomies122300000X Dentist
(Licence: IN  12012788A)
1223G0001X Dentist, General Practice
(Licence: IN  12012788A)
Enumeration Date2017-07-11
Last Update Date2024-06-04
Business Address
COREY J WILSON DMD
1522 W MORRIS ST
INDIANAPOLIS, IN 46221-1629
Phone number: 317-957-2500
Mailing Address
COREY J WILSON DMD
10820 PENDLETON PIKE STE B
INDIANAPOLIS, IN 46236-2952
Phone number: 317-597-0184