Individual
PETER JOHN WIMSATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7410 NEW LAGRANGE RD, SUITE 115, LOUISVILLE, KY 40222-4871
(502) 425-6515
(502) 412-9013
Mailing address
7410 NEW LAGRANGE RD, SUITE 115, LOUISVILLE, KY 40222-4871
(502) 425-6515
(502) 412-9013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4979
KY
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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