Katherine Wilson, Pllc

NPI #1700283488 in Kittery, Maine

Provider Information

NPI Number: 1700283488
Entity Type: Organization
Organization Name: Katherine Wilson, Pllc
Primary Specialty: Dentist - Periodontics
Enumeration Date: Nov 25, 2014
Last Updated: Nov 25, 2014

Practice Location

Address: 74 STATE RD STE 102
City: Kittery
State: Maine
ZIP Code: 03904-1562
Phone: (303) 913-6462

Authorized Official

Name: KATHERINE DUNN WILSON, DMD
Title: OWNER
Phone: (303) 913-6462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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