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Elizabeth Anne Wilson, DDS

Dentist, General Practice in Owensboro, KY. Individual provider (NPI-1).

NPI number1649792136
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1649792136
Entity type
Individual (NPI-1)
Name
Elizabeth Anne Wilson
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Jul 17, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice9991KYYes

Practice location

2862 Farrell Cres
Owensboro, KY 42303-1392

Phone 270-684-3610 · Fax 270-684-3914

Mailing address

2862 Farrell Cres
Owensboro, KY 42303-1392

Phone 270-684-3610 · Fax 270-684-3914

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