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General NPI Number Information
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NPI Number | 1013089242
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Entity Type | Organization
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Legal Business Name | ARNOLD AND WILSON DDS, INC.
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2930 MARTIN LUTHER KING JR WAY
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City | BERKELEY
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State | CA
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Zip | 94703-2151
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Country | US
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Telephone | 510-841-1128
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Fax | 510-841-7920
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Provider Business Mailing Address
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Address Line | 2930 MARTIN LUTHER KING JR WAY
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City | BERKELEY
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State | CA
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Zip | 94703-2151
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Country | US
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Telephone | 510-841-1128
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Fax | 510-841-7920
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Authorized Official
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Title or Position | PRESIDENT ANDTREASURER
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Name | DR. WENDI L. WILSON
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Credential | DDS
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Telephone | 510-841-1128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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