Individual
VICTORIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2250 LEESTOWN RD BLDG 28, LEXINGTON, KY 40511-1052
(859) 233-4511
Mailing address
2413 FIELDRUSH RD, LEXINGTON, KY 40511-9098
(859) 806-7395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10266
KY
Other
Enumeration date
03/27/2019
Last updated
10/27/2024
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