| Craig H. Wilson Dds, Pa | |
|
964 Sanford Ave Irvington NJ 07111-1474 | |
| (973) 374-7100 | |
| (973) 374-7117 |
| Full Name | Craig H. Wilson Dds, Pa |
|---|---|
| Speciality | Dentist |
| Location | 964 Sanford Ave, Irvington, New Jersey |
| Authorized Official Name and Position | Craig H. Wilson (OWNER) |
| Authorized Official Contact | 9733747100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig H. Wilson Dds, Pa 964 Sanford Ave Irvington NJ 07111-1474 Ph: (973) 374-7100 | Craig H. Wilson Dds, Pa 964 Sanford Ave Irvington NJ 07111-1474 Ph: (973) 374-7100 |
| NPI Number | 1407986102 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407986102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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