Individual
WHITNEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5110 MARYLAND WAY STE 190, BRENTWOOD, TN 37027-7508
(615) 373-2030
(615) 373-7059
Mailing address
5110 MARYLAND WAY STE 190, BRENTWOOD, TN 37027-7508
(615) 373-2030
(615) 373-7059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9659
TN
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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