Individual
DR. VALARIE D. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3155 ROYAL DR STE 125, ALPHARETTA, GA 30022-2477
(404) 612-1867
Mailing address
565 OLD FRIAR TUCK LN, STONE MOUNTAIN, GA 30087-5236
(404) 786-4207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN011475
GA
1223G0001X
General Practice Dentistry
Primary
DN011475
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN011475
GEORGIA BOARD OF DENTISTRY
GA
Enumeration date
06/18/2020
Last updated
01/17/2023
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