Individual
WREMAINE LUMASS DUPREE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
825 S WATSON RD STE 101, BUCKEYE, AZ 85326-3435
(623) 386-7319
Mailing address
16579 W LATHAM ST, GOODYEAR, AZ 85338-6198
(619) 384-2386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010941
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/02/2020
Last updated
06/23/2021
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