Kristina Wilson, DMD
Dentist, General Practice in Glendale, AZ. Individual provider (NPI-1).
NPI number1154772879
StatusActive
Last updated in NPPESAug 18, 2026
Details
- NPI
- 1154772879
- Entity type
- Individual (NPI-1)
- Name
- Kristina Wilson
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 23, 2016
- Certification date
- Aug 18, 2026
- Last updated
- Aug 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D009508 | AZ | Yes |
Practice location
18275 N 59th Ave Ste 150Glendale, AZ 85308-1253
Phone 602-942-0623
Mailing address
18275 N 59th Ave Ste 150Glendale, AZ 85308-1253
Phone 602-942-0623
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