Organization
DENVER PERIODONTICS AND IMPLANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE D WILSON PC (OWNER)
(303) 721-1173
Entity
Organization
Contact information
Practice address
7384 S ALTON WAY, SUITE 101, CENTENNIAL, CO 80112-2369
(303) 721-1173
(303) 721-1179
Mailing address
7384 S ALTON WAY, SUITE 101, CENTENNIAL, CO 80112-2369
(303) 721-1173
(303) 721-1179
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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