Individual
HEIDI WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENIAL HYGINIST
Contact information
Practice address
21258 M 68 HWY, ONAWAY, MI 49765-9692
(989) 733-2082
(989) 733-8487
Mailing address
PO BOX 427, HILLMAN, MI 49746-0427
(989) 354-2197
(989) 354-1952
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902010470
MI
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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