Organization
WILSON FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BLISS BROWN WILSON DMD (OWNER/DENTIST)
(334) 273-7979
Entity
Organization
Contact information
Practice address
265 WINTON BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 273-7979
(334) 273-7980
Mailing address
265 WINTON BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 273-7979
(334) 273-7980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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