Elizabeth M. Wilson Dmd LLC

NPI #1730424904 in Santa Fe, New Mexico

Provider Information

NPI Number
1730424904
Entity Type
Organization
Organization Name
Elizabeth M. Wilson Dmd LLC
Subpart
Yes (part of a larger organization)
Parent Organization
-
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 29, 2012
Last Updated
Nov 29, 2012

Practice Location

Address
217 E MARCY ST
ZIP Code
87501-2020
Phone
(505) 988-4333

Authorized Official

Name
ELIZABETH WILSON, DMD
Title
OWNER/DENTIST
Phone
(505) 988-4333

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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