Individual
DR. LAUREN BUNCH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
205 FAYETTEVILLE ST STE 100, RALEIGH, NC 27601-1362
(919) 330-0642
Mailing address
4204 SIX FORKS RD APT 3210, RALEIGH, NC 27609-6452
(252) 333-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DRPM2786
FL
1223G0001X
General Practice Dentistry
Primary
14100
NC
Other
Enumeration date
06/13/2024
Last updated
10/23/2025
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