Wilson Family Dentistry LLC
NPI #1790318764 in Montgomery, Alabama
Provider Information
- NPI Number
- 1790318764
- Entity Type
- Organization
- Organization Name
- Wilson Family Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 19, 2020
- Last Updated
- Feb 19, 2020
Practice Location
- Address
- 265 WINTON BLOUNT LOOP
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36117-3507
- Phone
- (334) 273-7979
Authorized Official
- Name
- MRS. BLISS BROWN WILSON, DMD
- Title
- OWNER/DENTIST
- Phone
- (334) 273-7979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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