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J. Calvin Wilson, Dds, Pc
Clinic/Center in Flora, Illinois
NPI 1912057258

J. Calvin Wilson, Dds, Pc is a Clinic/Center based in Flora, IL. J. Calvin Wilson, Dds, Pc practices in Flora, IL. The NPI Number for J. Calvin Wilson, Dds, Pc is 1912057258 and holds a License No. (Illinois).

The current practice location address for J. Calvin Wilson, Dds, Pc is 317 E North Ave, Flora, IL and can be reached out via phone at 618-662-6907.

Location: 317 E North Ave, Flora, IL, 62839-2040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912057258
Provider Name
J. Calvin Wilson, Dds, Pc
Credential
Provider Entity Type
Organization
Address
317 E North Ave, Flora, IL, 62839-2040
Phone Number
618-662-6907
Fax Number
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
317 E North Ave
City
Flora
State
Illinois
Zip
62839-2040
Phone Number
618-662-6907
Fax Number
person
Provider Business Mailing Address Details
Address
317 E North Ave
City
Flora
State
Illinois
Zip
62839-2040
Phone Number
618-662-6907
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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