Solitaire Shacklette Wix DMD

NPI 1134398019 - Dentist - 1223G0001X

NPI Details
NPI 1134398019
Gender Female
Enumeration Date 02/26/2008
Last Updated 02/26/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3650 BOSTON RD
SUITE K
LEXINGTON KY, 40514-1569, US
Phone (859) 223-7300
Fax (859) 223-1122
Business Location
3650 BOSTON RD
SUITE K
LEXINGTON KY, 40514-1569, US
Phone (859) 223-7300
Fax (859) 223-1122
Toxanomy
Taxonomy Code 1223G0001X
License State Kentucky
License Number 7839
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According to our database, Dr. Solitaire Shacklette Wix DMD NPI is 1134398019, taxonomy code is 1223G0001X and license number is 7839, license state is located at Kentucky. Solitaire Shacklette Wix DMD physically located at 3650 Boston Rd, Lexington KY, 40514-1569. NPI Number Solitaire Shacklette Wix DMD has the Individual type.

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1134398019 NPI number is provided on an as is basis without warranty of any kind. 1134398019 is maintained by the National Plan & Provider Enumeration System. The contents of Solitaire Shacklette Wix DMD are for informational purposes only.