| Shawn K Wilson Dds Inc | |
|
3110 Churn Creek Road Redding CA 96002 | |
| (530) 222-0515 | |
| (530) 222-1623 |
| Full Name | Shawn K Wilson Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 3110 Churn Creek Road, Redding, California |
| Authorized Official Name and Position | Shawn Kevin Wilson (OWNER OPERATOR) |
| Authorized Official Contact | 5302220515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn K Wilson Dds Inc 3110 Churn Creek Road Suite A Redding CA 96002 Ph: (530) 222-0515 | Shawn K Wilson Dds Inc 3110 Churn Creek Road Redding CA 96002 Ph: (530) 222-0515 |
| NPI Number | 1477636280 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 10/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477636280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 032518 (California) | Primary |
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