Individual
KARLI LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
24 S 500 W, BOUNTIFUL, UT 84010-7187
(801) 296-1606
Mailing address
24 S 500 W, BOUNTIFUL, UT 84010-7187
(801) 296-1606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13047862-9922
UT
Other
Enumeration date
06/01/2022
Last updated
04/18/2024
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