Individual
CIARA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1517 UNION AVE STE C, MOBERLY, MO 65270-9471
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2022016783
MO
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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