Wremaine Lumass Dupree Wilson, DDS

NPI #1114556115 in Buckeye, Arizona

Provider Information

NPI Number: 1114556115
Entity Type: Individual
Name: Wremaine Lumass Dupree Wilson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Apr 2, 2020
Last Updated: Jun 23, 2021

Practice Location

Address: 825 S WATSON RD STE 101
City: Buckeye
State: Arizona
ZIP Code: 85326-3435
Phone: (623) 386-7319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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