| Leonard B Wilson Dmd Pc | |
|
1333 W Harvard Ave Roseburg OR 97471-2838 | |
| (541) 672-2747 | |
| (866) 216-6527 |
| Full Name | Leonard B Wilson Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1333 W Harvard Ave, Roseburg, Oregon |
| Authorized Official Name and Position | Leonard Bever Wilson (OWNER) |
| Authorized Official Contact | 5416722747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard B Wilson Dmd Pc 1333 W Harvard Ave Roseburg OR 97471-2838 Ph: (541) 672-2747 | Leonard B Wilson Dmd Pc 1333 W Harvard Ave Roseburg OR 97471-2838 Ph: (541) 672-2747 |
| NPI Number | 1881077329 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 07/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881077329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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