Kristina N Wilson Dmd Pllc | |
18275 N 59th Ave Ste 105 Glendale AZ 85308-1260 | |
(602) 942-0623 | |
Not Available |
Full Name | Kristina N Wilson Dmd Pllc |
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Speciality | Dentist - General Practice |
Location | 18275 N 59th Ave Ste 105, Glendale, Arizona |
Authorized Official Name and Position | Kristina Wilson (OWNER/DENTIST) |
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 105 Glendale AZ 85308-1260 Ph: (602) 942-0623 |
NPI Number | 1730937830 |
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Provider Enumeration Date | 05/13/2024 |
Last Update Date | 05/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730937830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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