NPI 1871946830

Tiniki Wilson

Practitioner Dental Assistant Ft. Stewart, GA

Practice location

Address: 1061 Harmon Ave, Ft. Stewart, GA 31314-5641
Phone: (912) 315-5417

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1871946830
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2016
Record last updated: 14 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.