Wilson, Brian L

Wilson, Brian L is an sole proprietor health care provider with primary practice located at 2350 Nw Century Dr Ste #200, Corvallis OR 97330-3495. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Wilson, Brian L can be contacted via phone (541) 768-0419.

Contact Information

Primary practice address
2350 Nw Century Dr Ste #200 Corvallis OR 97330-3495
Fax: (541) 768-0521
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D7843 Oregon

Profile Details

NPI number 1740288034
LBN Legal business name Wilson, Brian L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Jan 24th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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