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Wremaine Lumass Dupree Wilson, DDS
General Practice Dentistry in Buckeye, Arizona
NPI 1114556115

Wremaine Lumass Dupree Wilson is a General Practice Dentistry based in Goodyear, AZ and is specialized in General Practice. Wremaine Lumass Dupree Wilson practices in Buckeye, AZ and has the professional credentials of DDS. The NPI Number for Wremaine Lumass Dupree Wilson is 1114556115 and holds a License No. (Arizona).

The current practice location address for Wremaine Lumass Dupree Wilson is 825 S Watson Rd Ste 101, Buckeye, AZ and can be reached out via phone at 623-386-7319. You can also correspond with Wremaine Lumass Dupree Wilson through the mailing address at 16579 W LATHAM ST, GOODYEAR, AZ - 85338-6198 (mailing address contact number: 619-384-2386).

Location: 825 S Watson Rd Ste 101, Buckeye, AZ, 85338-6198
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114556115
Provider Name
Wremaine Lumass Dupree Wilson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
825 S Watson Rd Ste 101, Buckeye, AZ, 85338-6198
Phone Number
623-386-7319
Fax Number
Provider Enumeration Date
04/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
825 S Watson Rd Ste 101
City
Buckeye
State
Arizona
Zip
85326-3435
Phone Number
623-386-7319
Fax Number
person
Provider Business Mailing Address Details
Address
825 S Watson Rd Ste 101
City
Buckeye
State
Arizona
Zip
85326-3435
Phone Number
623-386-7319
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D010941 (Arizona)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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