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Individual

CHERYL WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10827 S 51ST ST, STE 201, PHOENIX, AZ 85044-1742
(480) 893-0888
Mailing address
10827 S 51ST ST, STE 201, PHOENIX, AZ 85044-1742
(480) 893-0888

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1817
AZ

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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