Individual
DR. GLENN DEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4601 BRAINERD RD, CHATTANOOGA, TN 37411-3826
(423) 698-6005
Mailing address
4601 BRAINERD RD, CHATTANOOGA, TN 37411-3826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8395
TN
Other
Enumeration date
01/14/2007
Last updated
01/20/2016
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