Individual
GAIL ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
226 W MORRIS ST, BATH, NY 14810-1413
(607) 776-8930
Mailing address
PO BOX 103, HAMMONDSPORT, NY 14840-0103
(607) 569-2227
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12351
NY
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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