Individual
DR. RITCHIE LYNN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
210 REDMAYNE RD, GARDENDALE, AL 35071-2405
(205) 631-9806
Mailing address
PO BOX 250, GARDENDALE, AL 35071-0250
(205) 631-9806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3290
AL
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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