Individual
DR. LISA G WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5470 CALDWELL MILL ROAD, BIRMINGHAM, AL 35242
(205) 995-8084
(205) 995-8156
Mailing address
5470 CALDWELL MILL ROAD, BIRMINGHAM, AL 35242
(205) 995-8084
(205) 995-8156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4416
AL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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