Individual
MARY BETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1195 OLD HICKORY BLVD, SUITE 203, BRENTWOOD, TN 37027-4239
(615) 371-9500
(615) 371-9845
Mailing address
1195 OLD HICKORY BLVD, SUITE 203, BRENTWOOD, TN 37027-4239
(615) 371-9500
(615) 371-9845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS4693
TN
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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