Individual
DR. DEBRA M. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
108 HOLLY DR, WARNER ROBINS, GA 31088-6615
(478) 929-2865
Mailing address
108 HOLLY DR, WARNER ROBINS, GA 31088-6615
(478) 929-2865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9700
GA
122300000X
Dentist
DS021298L
PA
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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