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Organization
KRISTINA N WILSON DMD PLLC
Active
Organization
KRISTINA N WILSON DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA WILSON DMD (OWNER/DENTIST)
(623) 293-6765
Entity
Organization
Contact information
Practice address
18275 N 59TH AVE STE 150, GLENDALE, AZ 85308-1253
(602) 942-0623
Mailing address
18275 N 59TH AVE STE 150, GLENDALE, AZ 85308-1253
(602) 942-0623
(602) 942-2409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
08/18/2026
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