DR. Madelyn Wilson, DDS
NPI #1114356672 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1114356672
- Entity Type
- Individual
- Name
- DR. Madelyn Wilson, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Nov 5, 2013
- Last Updated
- Dec 12, 2016
Practice Location
- Address
- 12301 OLIVE BLVD
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141
- Phone
- (314) 579-6166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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