DR. MADELYN WILSON, DDS
Dentist - General Practice
Active
Individual
NPI: 1114356672
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 2013020793 (MO) |
Frequently Asked Questions
NPI 1114356672 is the National Provider Identifier for DR. MADELYN WILSON, DDS, a Dentist - General Practice provider located in Creve Coeur, MO. This NPI was enumerated on November 5, 2013.
DR. MADELYN WILSON, DDS practices at 12301 OLIVE BLVD, Creve Coeur, MO 63141.
Quick Facts
- NPI
- 1114356672
- Type
- Individual
- Enumerated
- Nov 5, 2013
- Last Updated
- Dec 12, 2016
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