NPI 1013026657

Bryan M Wilson, DDS

Practitioner Dentist Apo, AP

Practice location

Address: 51 Mdg Unit 2060, Apo, AP 96278-2060
Phone: 01182316612108

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 08321 (IA)

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Registry record

NPI: 1013026657
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2006
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.