Individual
DR. LUCIANA H KANO-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2525 SANDCREST BLVD, COLUMBUS, IN 47203-3048
(812) 372-6165
(812) 372-3065
Mailing address
2525 SANDCREST BLVD, COLUMBUS, IN 47203-3048
(812) 372-6165
(812) 372-3065
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011382A
IN
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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