Individual
MRS. MICHELLE LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
1005 NORTH 16TH STREET, LAMESA, TX 79331-3151
(806) 872-6310
(806) 872-6319
Mailing address
1000 FARM MARKET ROAD 300, LEVELLAND, TX 79336-6235
(806) 987-1987
(806) 894-3378
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8101
TX
Other
Enumeration date
09/23/2006
Last updated
07/08/2007
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