Renae L Wilson, DDS

NPI #1306894498 in El Cajon, California

Provider Information

NPI Number
1306894498
Entity Type
Individual
Name
Renae L Wilson, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
May 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
275 W MADISON AVE
Address 2
SUITE B
ZIP Code
92020-3405
Phone
(619) 588-2420

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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