Individual
BRIANA JOY WILSON HUYNH TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MA
Contact information
Practice address
331 S MAIN ST, VIRGINIA, IL 62691-1571
(217) 452-3057
Mailing address
331 S MAIN ST, VIRGINIA, IL 62691-1571
(217) 452-3057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034340
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2023
Last updated
01/13/2026
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