Wilson, Ann L

Wilson, Ann L is an individual health care provider with primary practice located at 671 Se Port St Lucie Blvd , Port St Lucie FL 34984-5141. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Wilson, Ann L can be contacted via phone (772) 878-8426.

Contact Information

Primary practice address
671 Se Port St Lucie Blvd Port St Lucie FL 34984-5141
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 8020 Florida

Profile Details

NPI number 1376759613
LBN Legal business name Wilson, Ann L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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