Lakesha Wilson, DENTAL HYGIENIST

NPI #1619034824 in Bossier, Louisiana

Provider Information

NPI Number: 1619034824
Entity Type: Individual
Name: Lakesha Wilson, DENTAL HYGIENIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: DENTAL HYGIENIST
Enumeration Date: Jan 3, 2007
Last Updated: Sep 12, 2008

Practice Location

Address: 1067 TWINNING DR.
City: Bossier
State: Louisiana
ZIP Code: 71110
Phone: (318) 456-4018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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