Russell C Wilson DDS a Professional Dental Corporation
Russell C Wilson DDS a Professional Dental Corporation provides Dentist services in Atascadero, California. Licensed in California. Registered with an NPI since 2016.
- Licensed in
- CA
- In the registry since
- 2016
Practice location Address checks out
7005 Atascadero AveAtascadero, CA 93422-4431 Not confirmed with CMS for 10 years — call before visiting
Phone: (805) 466-3328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 46346 (CA) |
|---|
Record details
| NPI number | 1760936603 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell Wilson — President · (805) 466-3328 |
| NPI enumerated | August 9, 2016 |
| Last updated in NPPES | August 9, 2016 |
| Mailing address | 7005 Atascadero Ave, Atascadero, CA 93422-4431 |
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