SHANE WILSON

Dentist

NPI: 1780334664Individual

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

2022019208(MO)

Contact & Hours

Address: 110 WATSON CIR
GRAVOIS MILLS, MO 65037
Phone: (763) 528-5539

Quick Facts

NPI: 1780334664
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile