JACK T WILSON III

LOUISVILLE, KY
NPI1396880902
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  5247)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
Dr. JACK T WILSON III D.M.D.
12010 SHELBYVILLE RD SUITE 200
LOUISVILLE, KY 40243-1054
Phone number: 502-583-4771
Mailing Address
Dr. JACK T WILSON III D.M.D.
12010 SHELBYVILLE RD SUITE 200
LOUISVILLE, KY 40243-1054
Phone number: 502-583-4771
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