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Individual

ANNIE CLAIRE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
908 W MITCHELL ST, ARLINGTON, TX 76013-2537
(817) 860-4343
(817) 461-6273
Mailing address
908 W MITCHELL ST, ARLINGTON, TX 76013-2537
(817) 860-4343
(817) 461-6273

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24590
TX

Other

Enumeration date
05/28/2009
Last updated
05/28/2009
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