Latoya S Wilson, DMD

NPI #1861507865 in St. Louis, Missouri

Provider Information

NPI Number: 1861507865
Entity Type: Individual
Name: Latoya S Wilson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5701 DELMAR
City: St. Louis
State: Missouri
ZIP Code: 63112-0937
Phone: (314) 367-7848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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