Wilson, Brian Leroy

Wilson, Brian Leroy is an sole proprietor health care provider with primary practice located at 1801 4Th Ave , Canyon TX 79015-3853. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wilson, Brian Leroy can be contacted via phone (806) 655-1104.

Contact Information

Primary practice address
1801 4Th Ave Canyon TX 79015-3853
Phone: (806) 655-1104
Fax: (806) 655-7453
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20514 Texas

Profile Details

NPI number 1902011919
LBN Legal business name Wilson, Brian Leroy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2007
Last updated Jul 8th, 2007 - about 17 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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