Individual
CHRISTOPHER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3594 COVINGTON PIKE, MEMPHIS, TN 38128-3926
(901) 377-6800
Mailing address
3594 COVINGTON PIKE, MEMPHIS, TN 38128-3926
(901) 377-6800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10057
TN
Other
Enumeration date
06/06/2015
Last updated
06/06/2015
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