Christopher Todd Wilson, D.D.S. Valid NPI
Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Sherwood, OR
- NPI
- 1285992057
- Type
- Individual (Type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223X0400X
- License number
- D7723 (OR)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2012-04-30
- Last updated
- 2012-04-30
Practice location
17680 Sw Handley Street, Suite 202
Sherwood, OR 97140
(503) 925-1566