Jason M Wilson DDS

NPI 1609156322 - Dentist - 122300000X

NPI Details
NPI 1609156322
Gender Male
Enumeration Date 08/25/2011
Last Updated 08/25/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1279 RICHWOOD AVE
MORGANTOWN WV, 26505-5267, US
Phone (304) 685-2588
Fax
Business Location
1279 RICHWOOD AVE
MORGANTOWN WV, 26505-5267, US
Phone (304) 685-2588
Fax
Toxanomy
Taxonomy Code 122300000X
License State West Virginia
License Number 3773
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According to our database, Dr. Jason M Wilson DDS NPI is 1609156322, taxonomy code is 122300000X and license number is 3773, license state is located at West Virginia. Jason M Wilson DDS physically located at 1279 Richwood Ave, Morgantown WV, 26505-5267. NPI Number Jason M Wilson DDS has the Individual type.

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1609156322 NPI number is provided on an as is basis without warranty of any kind. 1609156322 is maintained by the National Plan & Provider Enumeration System. The contents of Jason M Wilson DDS are for informational purposes only.