Individual
MRS. DANIELLE MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4699 HAMANN PKWY, WILLOUGHBY, OH 44094-5631
(440) 942-0860
(440) 951-1246
Mailing address
4699 HAMANN PKWY, WILLOUGHBY, OH 44094-5631
(440) 942-0860
(440) 951-1246
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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