| NPI | 1992820328 |
|---|---|
| Other Name | DAN E. WILSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00009284) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D7955) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-07-21 |