SOLITAIRE SHACKLETTE WIX

LEXINGTON, KY
NPI1134398019
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  7839)
Enumeration Date2008-02-26
Last Update Date2008-02-26
Business Address
Dr. SOLITAIRE SHACKLETTE WIX DMD
3650 BOSTON RD SUITE K
LEXINGTON, KY 40514-1569
Phone number: 859-223-7300
Mailing Address
Dr. SOLITAIRE SHACKLETTE WIX DMD
3650 BOSTON RD SUITE K
LEXINGTON, KY 40514-1569
Phone number: 859-223-7300