Individual
ELIZABETH M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
530 N TELSHOR BLVD, SUITE A, LAS CRUCES, NM 88011-8243
(575) 532-5861
Mailing address
530 N TELSHOR BLVD, SUITE A, LAS CRUCES, NM 88011-8243
(575) 532-5861
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD 3170
NM
Other
Enumeration date
07/24/2009
Last updated
07/31/2009
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