KELLY JAY WILSON

ROCKLIN, CA
NPI1942338819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  52954)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
-- KELLY JAY WILSON DDS
5800 STANFORD RANCH RD BLDG #900
ROCKLIN, CA 95765-4385
Phone number: 916-663-5555
Mailing Address
-- KELLY JAY WILSON DDS
5022 BRADFORD DR
ROCKLIN, CA 95765-5323
Phone number: