Organization
MARLA WILSON DDS PC
Active
Other names
Premier Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA KAY WILSON DDS (DENTIST)
(317) 787-6625
Entity
Organization
Contact information
Practice address
6920 S EAST ST, SUITE A, INDIANAPOLIS, IN 46227-2215
(317) 787-6625
(317) 787-4945
Mailing address
6920 S EAST ST, SUITE A, INDIANAPOLIS, IN 46227-2215
(317) 787-6625
(317) 787-4945
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009690
IN
Other
Enumeration date
06/13/2007
Last updated
12/06/2016
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