Spencer Wilson

NPI 1952618142 · on the registry since 2010

Practice

Address: 933 Shasta St
Yuba City, CA 95991
Phone: (915) 744-6083
Fax: (915) 744-2027
Organisation at this address: Magnolia Modern Dentistry
Wilson Dmd A Professional Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-05

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 California