Kristina N Wilson Dmd Pllc | |
18275 N 59th Ave Ste 150 Glendale AZ 85308-1253 | |
(602) 942-0623 | |
Not Available |
Full Name | Kristina N Wilson Dmd Pllc |
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Speciality | Clinic/center - Dental |
Location | 18275 N 59th Ave Ste 150, Glendale, Arizona |
Authorized Official Name and Position | Kristina N Wilson (DENTIST/OWNER) |
Authorized Official Contact | 6232936765 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kristina N Wilson Dmd Pllc 5527 W Andrea Dr Phoenix AZ 85083-6361 Ph: (623) 293-6765 | Kristina N Wilson Dmd Pllc 18275 N 59th Ave Ste 150 Glendale AZ 85308-1253 Ph: (602) 942-0623 |
NPI Number | 1669211538 |
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Provider Enumeration Date | 05/21/2024 |
Last Update Date | 05/21/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669211538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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