| Spencer G Wilson Dds Pc | |
|
1355 S Higley Rd Ste 106 Gilbert AZ 85296-4799 | |
| (480) 279-5949 | |
| (480) 279-0784 |
| Full Name | Spencer G Wilson Dds Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1355 S Higley Rd Ste 106, Gilbert, Arizona |
| Authorized Official Name and Position | Spencer G Wilson (PRESIDENT) |
| Authorized Official Contact | 4802795949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer G Wilson Dds Pc 1355 S Higley Rd Ste 106 Gilbert AZ 85296-4799 Ph: (480) 279-5949 | Spencer G Wilson Dds Pc 1355 S Higley Rd Ste 106 Gilbert AZ 85296-4799 Ph: (480) 279-5949 |
| NPI Number | 1013192913 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013192913 | NPI | - | NPPES |
| 502262 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D0020739 (Arizona) | Primary |
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