| NPI | 1851502884 |
|---|---|
| Former Legal Business Name | WILSON ORTHODONTICS, P.A. |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GERARD WILSON Owner/President 301-733-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 11543) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-02-07 |