DR. Virginia Kelly Wilson, D.D.S

NPI #1043452055 in Jacksonville, North Carolina

Provider Information

NPI Number: 1043452055
Entity Type: Individual
Name: DR. Virginia Kelly Wilson, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Apr 6, 2009
Last Updated: Apr 6, 2009

Practice Location

Address: 1701 COUNTRY CLUB RD
City: Jacksonville
State: North Carolina
ZIP Code: 28546-6005
Phone: (910) 346-2345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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