| J. Calvin Wilson, Dds, Pc | |
|
317 E North Ave Flora IL 62839-2040 | |
| (618) 662-6907 | |
| Not Available |
| Full Name | J. Calvin Wilson, Dds, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 317 E North Ave, Flora, Illinois |
| Authorized Official Name and Position | Jon Calvin Wilson (PRESIDENT) |
| Authorized Official Contact | 6186626907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Calvin Wilson, Dds, Pc 317 E North Ave Flora IL 62839-2040 Ph: (618) 662-6907 | J. Calvin Wilson, Dds, Pc 317 E North Ave Flora IL 62839-2040 Ph: (618) 662-6907 |
| NPI Number | 1912057258 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912057258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
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