DAVID LEE WILSON DDS NPI 1902892540

NPI Information

David Lee Wilson, DDS is an oral and maxillofacial surgery dentist in Palmdale, CA. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. David Lee Wilson, DDS NPI is 1902892540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

41253 12TH ST W
SUITE C
PALMDALE, CA
ZIP 93551-413
Phone: (661) 266-8840

The enumeration date for this NPI number is 9/20/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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