Virginia Kelly Wilson D.D.S

NPI 1043452055 - Dentist - 122300000X

NPI Details
NPI 1043452055
Gender Female
Enumeration Date 04/06/2009
Last Updated 04/06/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1701 COUNTRY CLUB RD
JACKSONVILLE NC, 28546-6005, US
Phone (910) 346-2345
Fax (910) 346-1332
Business Location
1701 COUNTRY CLUB RD
JACKSONVILLE NC, 28546-6005, US
Phone (910) 346-2345
Fax (910) 346-1332
Toxanomy
Taxonomy Code 122300000X
License State North Carolina
License Number 6616
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According to our database, Dr. Virginia Kelly Wilson D.D.S NPI is 1043452055, taxonomy code is 122300000X and license number is 6616, license state is located at North Carolina. Virginia Kelly Wilson D.D.S physically located at 1701 Country Club Rd, Jacksonville NC, 28546-6005. NPI Number Virginia Kelly Wilson D.D.S has the Individual type.

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1043452055 NPI number is provided on an as is basis without warranty of any kind. 1043452055 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia Kelly Wilson D.D.S are for informational purposes only.