| NPI | 1679657886 |
|---|---|
| Former Legal Business Name | N. ROUSE WILSON, III, DDS |
| Entity Type | Organization |
| Authorized Contact | SUSAN S. WILSON Business Manager 919-542-3502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5465) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-08-13 |