Individual
DR. CONSTANCE LYNN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
222 JPM RD, LEWISBURG, PA 17837-9340
(570) 524-0600
(570) 524-0296
Mailing address
222 JPM RD, LEWISBURG, PA 17837-9340
(570) 524-0600
(570) 524-0296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037648
PA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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