Cristin C Wilson Dds

NPI 1194148312 - Dentist - 1223G0001X

NPI Details
NPI 1194148312
Enumeration Date 01/23/2014
Last Updated 01/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DONNA DONNA
Position OFFICE MANAGER
Phone (402) 492-9476
Fax (402) 492-9838
Practice Location
11717 BURT ST
SUITE 100
OMAHA NE, 68154-1500, US
Phone (402) 492-9476
Fax (402) 492-9838
Business Location
11717 BURT ST
SUITE 100
OMAHA NE, 68154-1500, US
Phone (402) 492-9476
Fax (402) 492-9838
Toxanomy
Taxonomy Code 1223G0001X
License State Nebraska
License Number 7113
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According to our database, Cristin C Wilson Dds NPI is 1194148312, taxonomy code is 1223G0001X and license number is 7113, license state is located at Nebraska. Cristin C Wilson Dds physically located at 11717 Burt St, Omaha NE, 68154-1500. NPI Number 1033115704 has the healthcare provider type.

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1194148312 NPI number is provided on an as is basis without warranty of any kind. 1194148312 is maintained by the National Plan & Provider Enumeration System. The contents of Cristin C Wilson Dds are for informational purposes only.