Individual
EMMETT E WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1453 ALBANY AVE, HARTFORD, CT 06112-2110
(860) 727-8146
(860) 241-0564
Mailing address
1453 ALBANY AVE, HARTFORD, CT 06112-2110
(860) 727-8146
(860) 241-0564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5498
CT
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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