| Katherine Wilson, Pllc | |
|
74 State Rd Ste 102 Kittery ME 03904-1562 | |
| (303) 913-6462 | |
| Not Available |
| Full Name | Katherine Wilson, Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 74 State Rd Ste 102, Kittery, Maine |
| Authorized Official Name and Position | Katherine Dunn Wilson (OWNER) |
| Authorized Official Contact | 3039136462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Wilson, Pllc 74 State Rd Ste 102 Kittery ME 03904-1562 Ph: (303) 913-6462 | Katherine Wilson, Pllc 74 State Rd Ste 102 Kittery ME 03904-1562 Ph: (303) 913-6462 |
| NPI Number | 1700283488 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 11/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700283488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 3671 (Maine) | Primary |
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