Doretha M Wilson

NPI #1407554686 in Winterhaven, California

Provider Information

NPI Number: 1407554686
Entity Type: Individual
Name: Doretha M Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Feb 17, 2023
Last Updated: Feb 17, 2023

Practice Location

Address: 401 PICACHO RD
City: Winterhaven
State: California
ZIP Code: 92283-9605
Phone: (760) 572-4811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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