Wilson, Gavin B

Wilson, Gavin B is an individual health care provider with primary practice located at 217 York Canyon Rd , Raton NM 87740-2008. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wilson, Gavin B can be contacted via phone (575) 445-8370.

Contact Information

Primary practice address
217 York Canyon Rd Raton NM 87740-2008
Phone: (575) 445-8370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DD4693 New Mexico

Profile Details

NPI number 1013445386
LBN Legal business name Wilson, Gavin B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2017
Last updated May 31st, 2017 - about 9 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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