Individual
MRS. KAREEN D WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS RDH
Contact information
Practice address
836 FARMINGTON AVE STE 215, WEST HARTFORD, CT 06119-1544
(860) 236-8000
(860) 236-9205
Mailing address
836 FARMINGTON AVE STE 215, WEST HARTFORD, CT 06119-1544
(860) 236-8000
(860) 236-9205
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006137
CT
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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