DR. Keith Wilcox, DDS

NPI #1275654618 in Mt Vernon, Illinois

Provider Information

NPI Number: 1275654618
Entity Type: Individual
Name: DR. Keith Wilcox, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 713 S 42ND ST
City: Mt Vernon
State: Illinois
ZIP Code: 62864
Phone: (618) 244-9666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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