Individual
EARL DENIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1713 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-8128
(270) 259-3003
(270) 259-5408
Mailing address
1713 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-8128
(270) 259-3003
(270) 259-5408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5613
KY
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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