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Individual
SHAYLA WILSON
Active
Individual
SHAYLA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25324
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2019
Last updated
11/29/2023
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