Most Relevant Information
Provider Data
| NPI Number: | 1003814393 |
| Provider Name: | WILSON S. MORISHITA DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0300X |
| Specialty: | Dentist |
| License Number: | 24317 |
Most Important Dates
| Enumeration Date: | 07/11/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
747 LOCUST ST STE 200
PASADENA
CA
911014457
Practice Location Phone/Fax
| Phone: | 6267965361 |
| Fax: | 6267963857 |
Provider Mailing Location
747 LOCUST ST STE 200
PASADENA
CA
911014457
Provider Mailing Phone/Fax
| Phone: | 6267965361 |
| Fax: | 6267963857 |