Amanda Wilson, DDS

NPI #1306392238 in Montgomery, New York

Provider Information

NPI Number: 1306392238
Entity Type: Individual
Name: Amanda Wilson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 31, 2016
Last Updated: Aug 31, 2016

Practice Location

Address: 2134 STATE ROUTE 208
City: Montgomery
State: New York
ZIP Code: 12549-2613
Phone: (845) 457-5763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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