Organization · Type 2 NPI
Wilson Dental PLLC
Dental Clinic/Center · Boise, ID
NPI number
1265935902
Active
Practice location
10497 W Garverdale Ct Ste 107
Boise, ID 83704-5468
Fax (208) 323-8538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D35345 (ID) |
Dental Clinic/Center: Definition to come...
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About NPI 1265935902
Wilson Dental PLLC's National Provider Identifier is 1265935902, issued on Mar 8, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boise, ID. The record was last updated on Mar 8, 2018.