Phillip Duane Wilson D.D.S.

NPI 1215144910 - Dentist - 122300000X

NPI Details
NPI 1215144910
Gender Male
Enumeration Date 05/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1319 E. HIGHWAY 175
SUITE #300
CRANDALL TX, 75114, US
Phone (972) 427-0333
Fax
Business Location
1319 E. HIGHWAY 175
SUITE #300
CRANDALL TX, 75114, US
Phone (972) 427-0333
Fax
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 16752
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According to our database, Phillip Duane Wilson D.D.S. NPI is 1215144910, taxonomy code is 122300000X and license number is 16752, license state is located at Texas. Phillip Duane Wilson D.D.S. physically located at 1319 E. Highway 175, Crandall TX, 75114. NPI Number Phillip Duane Wilson D.D.S. has the Individual type.

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1215144910 NPI number is provided on an as is basis without warranty of any kind. 1215144910 is maintained by the National Plan & Provider Enumeration System. The contents of Phillip Duane Wilson D.D.S. are for informational purposes only.