| David L. Wilson, Dmd, Pc | |
|
14300 Sw Pacific Hwy Tigard OR 97224-3790 | |
| (503) 639-4330 | |
| (503) 639-5400 |
| Full Name | David L. Wilson, Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14300 Sw Pacific Hwy, Tigard, Oregon |
| Authorized Official Name and Position | David L Wilson (OWNER) |
| Authorized Official Contact | 5036394330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David L. Wilson, Dmd, Pc 14300 Sw Pacific Hwy Tigard OR 97224-3790 Ph: (503) 639-4330 | David L. Wilson, Dmd, Pc 14300 Sw Pacific Hwy Tigard OR 97224-3790 Ph: (503) 639-4330 |
| NPI Number | 1740486604 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740486604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7743 (Oregon) | Primary |
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