Individual
DR. ANGELA N. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
4830 QUAIL CREST PL, LAWRENCE, KS 66049-3838
(785) 843-4076
(785) 843-6127
Mailing address
4830 QUAIL CREST PL, LAWRENCE, KS 66049-3838
(785) 843-4076
(785) 843-6127
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
60071
KS
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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