Individual
SIERRA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9000 E STATE ROUTE 350, RAYTOWN, MO 64133-5717
(816) 503-9011
(816) 503-9298
Mailing address
2580 FOREST AVE UNIT 302, KANSAS CITY, MO 64108-3521
(816) 503-9011
(816) 503-9298
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2026026776
MO
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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