Individual
DR. SOLITAIRE SHACKLETTE WIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3650 BOSTON RD, SUITE K, LEXINGTON, KY 40514-1569
(859) 223-7300
(859) 223-1122
Mailing address
3650 BOSTON RD, SUITE K, LEXINGTON, KY 40514-1569
(859) 223-7300
(859) 223-1122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7839
KY
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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