Individual
MARY B WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
304 SW GREENWICH DR, LEES SUMMIT, MO 64082-4408
(281) 460-4886
Mailing address
6140 ROCKHILL RD, KANSAS CITY, MO 64110-3312
(281) 460-4886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2019036502
MO
122300000X
Dentist
61730
KS
Other
Enumeration date
12/04/2019
Last updated
11/29/2023
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