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Randall E Wilson
Dental Clinic/Center in Swansea, Illinois
NPI 1891316535

Randall E Wilson is a Dental Clinic/Center based in Swansea, IL and is specialized in Dental. Randall E Wilson practices in Swansea, IL. The NPI Number for Randall E Wilson is 1891316535 and holds a License No. (Illinois).

The current practice location address for Randall E Wilson is 4121 Old Collinsville Rd, Swansea, IL and can be reached out via phone at 618-236-0501.

Location: 4121 Old Collinsville Rd, Swansea, IL, 62226-2511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891316535
Provider Name
Randall E Wilson
Credential
Provider Entity Type
Organization
Address
4121 Old Collinsville Rd, Swansea, IL, 62226-2511
Phone Number
618-236-0501
Fax Number
Provider Enumeration Date
05/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4121 Old Collinsville Rd
City
Swansea
State
Illinois
Zip
62226-2511
Phone Number
618-236-0501
Fax Number
person
Provider Business Mailing Address Details
Address
4121 Old Collinsville Rd
City
Swansea
State
Illinois
Zip
62226-2511
Phone Number
618-236-0501
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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