| Russell C Wilson Dds A Professional Dental Corporation | |
|
7005 Atascadero Ave Atascadero CA 93422-4431 | |
| (805) 466-3328 | |
| Not Available |
| Full Name | Russell C Wilson Dds A Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 7005 Atascadero Ave, Atascadero, California |
| Authorized Official Name and Position | Russell C Wilson (PRESIDENT) |
| Authorized Official Contact | 8054663328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell C Wilson Dds A Professional Dental Corporation 7005 Atascadero Ave Atascadero CA 93422-4431 Ph: (805) 466-3328 | Russell C Wilson Dds A Professional Dental Corporation 7005 Atascadero Ave Atascadero CA 93422-4431 Ph: (805) 466-3328 |
| NPI Number | 1760936603 |
|---|---|
| Provider Enumeration Date | 08/09/2016 |
| Last Update Date | 08/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760936603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46346 (California) | Primary |
Theron A. Stout, Dds A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8310 Morro Rd., Atascadero, CA 93422 Phone: 805-464-2723 Fax: 805-464-2726 | |
Ronald L Chalker A Professional Organization Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7405 Morro Rd, Atascadero, CA 93422 Phone: 805-466-1243 Fax: 805-466-7152 | |
Drs. Chalker And Peterson, A Dental Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7405 Morro Rd, Atascadero, CA 93422 Phone: 805-466-1273 | |
Creekside Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8840 Morro Rd, Atascadero, CA 93422 Phone: 805-462-8710 | |
Dwayne R Burbach Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7005 Atascadero Ave, Atascadero, CA 93422 Phone: 805-466-3328 Fax: 805-466-0824 | |
Drs. Guittard & Sierra Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5960 West Mall Ste A, Atascadero, CA 93422 Phone: 909-528-1252 Fax: 805-466-6831 |