Individual
SANDRA DEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 FM 2854, CONROE, TX 77301-2740
(936) 539-4004
(936) 539-3635
Mailing address
704 FM 2854, CONROE, TX 77301-2740
(936) 539-4004
(936) 539-3635
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12716
TX
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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