DR. Sandra Wilson, DDS

NPI #1235348962 in Fort Washakie, Wyoming

Provider Information

NPI Number: 1235348962
Entity Type: Individual
Name: DR. Sandra Wilson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 21, 2007
Last Updated: Jun 8, 2018

Practice Location

Address: 29 BLACK COAL DRIVE
City: Fort Washakie
State: Wyoming
ZIP Code: 82514
Phone: (307) 332-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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