Individual
SABRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2665 ROCKAWAY PL, LEXINGTON, KY 40511-8978
(859) 878-0608
Mailing address
2665 ROCKAWAY PL, LEXINGTON, KY 40511-8978
(859) 878-0608
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10634
KY
Other
Enumeration date
06/11/2021
Last updated
06/21/2021
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