Individual
DR. ALEXIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7100 HERITAGE VILLAGE PLZ STE 101, GAINESVILLE, VA 20155-3066
(703) 754-5800
Mailing address
1801 ROBERT FULTON DR STE 300, RESTON, VA 20191-4362
(617) 620-3320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416901
VA
122300000X
Dentist
DE60672750
WA
Other
Enumeration date
10/05/2016
Last updated
05/06/2025
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