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Leonard Wilson, D.M.D
NPI 1639550239 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1333 W Harvard Ave
Roseburg, OR 97471 - Phone
- (541) 672-2747
- Organisation at this address
- Cris Dental Group Pc
Leonard B Wilson Dmd PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon