MR. JACK WILSON, RDHAP

Dental Hygienist

Active Individual
NPI: 1043216807

Practice Address

2654 STACEY WAY
National City, CA 91950

Phone: (559) 289-8293

Specialties

Specialty Code Primary License
Dental Hygienist 124Q00000X Yes HAP 299 (CA)

Frequently Asked Questions

NPI 1043216807 is the National Provider Identifier for MR. JACK WILSON, RDHAP, a Dental Hygienist provider located in National City, CA. This NPI was enumerated on June 24, 2005.
MR. JACK WILSON, RDHAP practices at 2654 STACEY WAY, National City, CA 91950.

Quick Facts

NPI
1043216807
Type
Individual
Enumerated
Jun 24, 2005
Last Updated
Jul 15, 2014

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