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Individual

DR. SUSAN KAY WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
3901 E LIVINGSTON AVE, SUITE 201, COLUMBUS, OH 43227-2302
(614) 235-5560
(614) 235-1857
Mailing address
3901 E LIVINGSTON AVE, SUITE 201, COLUMBUS, OH 43227-2302
(614) 235-5560
(614) 235-1857

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17498
OH

Other

Enumeration date
12/12/2013
Last updated
12/12/2013
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