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Madelyn Wilson, DDS
NPI 1114356672 · on the registry since 2013 · sole proprietor
Practice
- Address
- 12301 Olive Blvd
Creve Coeur, MO 63141 - Phone
- (314) 579-6166
- Fax
- (314) 579-6163
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri