Individual
ELIZABETH ANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2862 FARRELL CRES, OWENSBORO, KY 42303-1392
(270) 684-3610
(270) 684-3914
Mailing address
2862 FARRELL CRES, OWENSBORO, KY 42303-1392
(270) 684-3610
(270) 684-3914
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9991
KY
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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