DR. Tara L Wilson, DDS

NPI #1083790323 in Brighton, Michigan

Provider Information

NPI Number: 1083790323
Entity Type: Individual
Name: DR. Tara L Wilson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5710 WHITMORE LAKE RD
City: Brighton
State: Michigan
ZIP Code: 48116-1902
Phone: (810) 229-9346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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