Individual
DR. LAUREN BRITTANY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4121 OLD COLLINSVILLE RD, SWANSEA, IL 62226-2511
(618) 236-0501
(618) 222-2997
Mailing address
4121 OLD COLLINSVILLE RD, SWANSEA, IL 62226-2511
(618) 236-0501
(618) 222-2997
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032546
IL
1223G0001X
General Practice Dentistry
Primary
019.032546
IL
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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