Organization
KRISTINA N WILSON DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA N WILSON DMD (DENTIST/OWNER)
(623) 293-6765
Entity
Organization
Contact information
Practice address
18275 N 59TH AVE STE 150, GLENDALE, AZ 85308-1253
(602) 942-0623
Mailing address
5527 W ANDREA DR, PHOENIX, AZ 85083-6361
(623) 293-6765
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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