Individual
DR. LAURA BRUYA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12706 E MISSION AVE, SPOKANE VALLEY, WA 99216-1053
(509) 928-3131
Mailing address
956 E 42ND AVE, SPOKANE, WA 99203-6202
(206) 999-8724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60168082
WA
Other
Enumeration date
08/17/2009
Last updated
07/30/2010
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