Individual
DR. SUSAN E. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10000 BRECKSVILLE RD, BRECKSVILLE, OH 44141-3204
(440) 526-3030
Mailing address
6816 HEYL RD, WOOSTER, OH 44691-9728
(440) 526-3030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17310
OH
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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