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1518065960
KENNETH P WILSON
BRIDGEPORT, WV
NPI
1518065960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: WV 1816)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
DR. KENNETH P WILSON DDS
930 W MAIN ST
BRIDGEPORT, WV 26330-1673
Phone number: 304-842-7568
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Mailing Address
DR. KENNETH P WILSON DDS
516 COST AVE
STONEWOOD, WV 26301-4811
Phone number: 304-624-5250
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