Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Doretha M Wilson

Individual provider Dental Hygienist · NPI 1407554686

Doretha M Wilson is a Dental Hygienist in Winterhaven, California. Licensed in Kentucky. Registered with an NPI since 2023.

Licensed in
KY
In the registry since
2023

Practice location Address checks out

401 Picacho Rd
Winterhaven, CA 92283-9605
Phone: (760) 572-4811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 3209 (KY)

Record details

NPI number1407554686
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2023
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023
Mailing addressPo Box 1368, Yuma, AZ 85366-2361

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