Individual provider · Type 1 NPI

Gary L. Wilson, DMD

General Practice Dentistry · Provo, UT

NPI number 1164589743 Active

About NPI 1164589743

Gary L. Wilson, DMD's National Provider Identifier is 1164589743, issued on Jan 2, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Provo, UT. The record was last updated on Jul 8, 2007.