Loren G. Wilson D.d.s. P.c.

NPI 1275674426 - Dentist - 1223G0001X

NPI Details
NPI 1275674426
Enumeration Date 02/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LOREN LOREN
Position PRESIDENT
Phone (618) 273-9684
Fax (618) 273-7107
Practice Location
1030 4TH ST
ELDORADO IL, 62930-1702, US
Phone (618) 273-9684
Fax (618) 273-7107
Business Location
670 BIXLER RD
ELDORADO IL, 62930-3786, US
Phone (618) 273-9684
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Loren G. Wilson D.d.s. P.c. NPI is 1275674426, taxonomy code is 1223G0001X Loren G. Wilson D.d.s. P.c. physically located at 1030 4th St, Eldorado IL, 62930-1702. NPI Number 1033115704 has the healthcare provider type.

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1275674426 NPI number is provided on an as is basis without warranty of any kind. 1275674426 is maintained by the National Plan & Provider Enumeration System. The contents of Loren G. Wilson D.d.s. P.c. are for informational purposes only.