Provider Demographics
NPI:1538128426
Name:WILCOX, DAVID ARTHUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARTHUR
Last Name:WILCOX
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MED CO. 1SB
Mailing Address - Street 2:UNIT 31530
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09833
Mailing Address - Country:EG
Mailing Address - Phone:011-972-8628
Mailing Address - Fax:
Practice Address - Street 1:9045 VIA AMORITA
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-2749
Practice Address - Country:US
Practice Address - Phone:562-923-5920
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00010095122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist