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Individual

DR. WILSON YIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2222 N GREENWICH RD, WICHITA, KS 67226
(316) 252-3139
Mailing address
4121 ELM PARK DR, SAINT LOUIS, MO 63128-1918

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016022764
MO

Other

Enumeration date
07/07/2016
Last updated
08/02/2018
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