Individual provider · Type 1 NPI
Donald Lewis Wilson, DDS, MSD
Orthodontics and Dentofacial Orthopedics Dentistry · Novato, CA
Practice location
7250 Redwood Blvd Ste 107
Novato, CA 94945-3269
Fax (415) 878-0242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 47822 (CA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1447368972
Donald Lewis Wilson, DDS, MSD's National Provider Identifier is 1447368972, issued on Aug 25, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Novato, CA. The record was last updated on Jul 8, 2007.