Organization
HEATHER WILSON DDS LLC
Active
Other names
Kimbrough Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER WILSON DDS (OWNER DENTIST)
(417) 234-2930
Entity
Organization
Contact information
Practice address
3111 S KIMBROUGH AVE, SPRINGFIELD, MO 65807-5011
(417) 887-5661
Mailing address
3111 S KIMBROUGH AVE, SPRINGFIELD, MO 65807-5011
(417) 887-5661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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