DR. Kathryn Leigh Wilson, D.M.D.

NPI #1437446838 in Rockaway Park, New York

Provider Information

NPI Number: 1437446838
Entity Type: Individual
Name: DR. Kathryn Leigh Wilson, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jul 6, 2011
Last Updated: Dec 14, 2015

Practice Location

Address: 175 BEACH 121ST ST
City: Rockaway Park
State: New York
ZIP Code: 11694-1960
Phone: (607) 368-5396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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