Individual
KAY MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
15910 W COMPANY LAKE ROAD, HAYWARD, WI 54843
(715) 934-2224
Mailing address
600 SHELL CREEK ROAD, MONONG, WI 54859
(715) 934-2224
(715) 934-5440
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1001787-016
WI
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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