Kimberly D Wilson

NPI #1447772124 in Olivehurst, California

Provider Information

NPI Number: 1447772124
Entity Type: Individual
Name: Kimberly D Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Jul 13, 2017
Last Updated: Sep 17, 2020

Practice Location

Address: 4941 OLIVEHURST AVE
City: Olivehurst
State: California
ZIP Code: 95961-4225
Phone: (530) 743-4614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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