DR. Amy Lee Wilson, DDS

NPI #1730254939 in Trinidad, Colorado

Provider Information

NPI Number: 1730254939
Entity Type: Individual
Name: DR. Amy Lee Wilson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 22, 2006
Last Updated: Dec 22, 2008

Practice Location

Address: 417 UNIVERSITY ST STE 1
City: Trinidad
State: Colorado
ZIP Code: 81082-2560
Phone: (719) 846-7387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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