NPI | 1669548319 |
---|---|
Doing Business As | RICHARD L WILSON DDS |
Entity Type | Organization |
Authorized Contact | RICHARD LYMAN WILSON Dentist 970-247-5565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 7355) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2020-08-22 |