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JERMAINE WILSON
Dentist
NPI: 1730824947Individual
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
DentistPrimary
Dentist
Code: 122300000X
063526(NY)
Contact & Hours
- Address
- 1732 OLD COUNTRY RD UNIT D
RIVERHEAD, NY 11901 - Phone
- (631) 381-6205
Quick Facts
- NPI
- 1730824947
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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