Cristin C Wilson DDS

NPI #1194148312 in Omaha, Nebraska

Provider Information

NPI Number: 1194148312
Entity Type: Organization
Organization Name: Cristin C Wilson DDS
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 23, 2014
Last Updated: Jan 23, 2014

Practice Location

Address: 11717 BURT ST
Address 2: SUITE 100
City: Omaha
State: Nebraska
ZIP Code: 68154-1500
Phone: (402) 492-9476

Authorized Official

Name: MRS. DONNA DAUBERT, CDA
Title: OFFICE MANAGER
Phone: (402) 492-9476

Specialties & Taxonomy Codes

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

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