Individual
DR. LOIS S WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1447 DOLLEY MADISON BLVD STE C, MC LEAN, VA 22101-6041
(703) 457-1147
(703) 884-1504
Mailing address
25 OAKDALE CT, STERLING, VA 20165-5642
(703) 919-2506
(703) 406-9514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
16168
MD
1223G0001X
General Practice Dentistry
Primary
8615
VA
Other
Enumeration date
05/07/2007
Last updated
11/09/2018
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