Individual
DR. REBECCA PORTER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
135 S SHARON AMITY RD STE 200, CHARLOTTE, NC 28211-3871
(704) 364-9000
Mailing address
135 S SHARON AMITY RD STE 200, CHARLOTTE, NC 28211-3871
(704) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13683
NC
Other
Enumeration date
05/28/2024
Last updated
09/18/2024
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