Lorena Nora Wilkins, DDS
Dentist, General Practice in Melbourne, FL. Individual provider (NPI-1).
NPI number1669950192
StatusActive
Last updated in NPPESAug 21, 2024
Details
- NPI
- 1669950192
- Entity type
- Individual (NPI-1)
- Name
- Lorena Nora Wilkins
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2018
- Certification date
- Aug 21, 2024
- Last updated
- Aug 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN23764 | FL | Yes |
Practice location
7500 Lake Andrew Dr Unit 102103Melbourne, FL 32940-8762
Phone 321-622-3033
Mailing address
7500 Lake Andrew Dr Unit 102103Melbourne, FL 32940-8762
Phone 321-622-3033
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