J. BRAD WILSON

JASPER, IN
NPI1841417706
Former NameJAMES BRAD WILSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  8244)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
Dr. J. BRAD WILSON dds
288 NORTHWOOD AVE
JASPER, IN 47546-1212
Phone number: 812-482-1855
Mailing Address
Dr. J. BRAD WILSON dds
288 NORTHWOOD AVE
JASPER, IN 47546-1212
Phone number: 812-482-1855