Individual
DR. JENNIFER JOANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5098 BROWN STATION RD # 260, UPPER MARLBORO, MD 20772-9124
(240) 326-3738
(240) 545-5500
Mailing address
5098 BROWN STATION RD # 260, UPPER MARLBORO, MD 20772-9124
(301) 257-6452
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
15073
MD
Other
Enumeration date
09/15/2011
Last updated
08/14/2023
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