| Richard A. Wilson, Dds, P.a. | |
|
3828 W Davis St Conroe TX 77304-1815 | |
| (936) 756-9015 | |
| (936) 756-7098 |
| Full Name | Richard A. Wilson, Dds, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 3828 W Davis St, Conroe, Texas |
| Authorized Official Name and Position | Richard Wilson (OWNER) |
| Authorized Official Contact | 9367569015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A. Wilson, Dds, P.a. 3828 W Davis St Conroe TX 77304-1815 Ph: (936) 756-9015 | Richard A. Wilson, Dds, P.a. 3828 W Davis St Conroe TX 77304-1815 Ph: (936) 756-9015 |
| NPI Number | 1770881401 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 10/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770881401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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