Individual
CHRISTY CAROL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 COUNTY ROAD 4896, WINNSBORO, TX 75494-5584
(903) 569-7113
Mailing address
MUSTANG CROSSING 501 NORTH F.M 548, 100, FORNEY, TX 75126
(972) 552-5128
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13394
TX
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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