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Gavin B Wilson, DDS
General Practice Dentistry in Raton, New Mexico
NPI 1013445386

Gavin B Wilson is a General Practice Dentistry based in Raton, NM and is specialized in General Practice. Gavin B Wilson practices in Raton, NM and has the professional credentials of DDS. The NPI Number for Gavin B Wilson is 1013445386 and holds a License No. DD4693 (New Mexico).

The current practice location address for Gavin B Wilson is 217 York Canyon Rd, Raton, NM and can be reached out via phone at 575-445-8370. You can also correspond with Gavin B Wilson through the mailing address at 217 YORK CANYON RD, RATON, NM - 87740-2008 (mailing address contact number: ).

Location: 217 York Canyon Rd, Raton, NM, 87740-2008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013445386
Provider Name
Gavin B Wilson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
217 York Canyon Rd, Raton, NM, 87740-2008
Phone Number
575-445-8370
Fax Number
Provider Enumeration Date
05/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
217 York Canyon Rd
City
Raton
State
New Mexico
Zip
87740-2008
Phone Number
575-445-8370
Fax Number
person
Provider Business Mailing Address Details
Address
217 York Canyon Rd
City
Raton
State
New Mexico
Zip
87740-2008
Phone Number
575-445-8370
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DD4693 (New Mexico)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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