Organization
KATHERINE WILSON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DUNN WILSON DMD (OWNER)
(303) 913-6462
Entity
Organization
Contact information
Practice address
74 STATE RD STE 102, KITTERY, ME 03904-1562
(303) 913-6462
Mailing address
74 STATE RD STE 102, KITTERY, ME 03904-1562
(303) 913-6462
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3671
ME
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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