Shea Aaron Wilson, DMD

NPI #1265926620 in Fenton, Missouri

Provider Information

NPI Number: 1265926620
Entity Type: Individual
Name: Shea Aaron Wilson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 19, 2018
Last Updated: Jun 19, 2018

Practice Location

Address: 750 GRAVOIS BLUFFS BLVD STE C
City: Fenton
State: Missouri
ZIP Code: 63026-7720
Phone: (636) 203-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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