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Organization
DANIEL E. WILSON, DMD PC
Active
Organization
DANIEL E. WILSON, DMD PC
Active
Other names
CASCADE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL EDWIN WILSON DMD (PRESIDENT/OWNER)
(360) 314-8723
Entity
Organization
Contact information
Practice address
16703 SE MCGILLIVRAY BLVD STE 100, VANCOUVER, WA 98683-3418
(360) 892-2994
(360) 892-3929
Mailing address
16703 SE MCGILLIVRAY BLVD STE 100, VANCOUVER, WA 98683-3418
(360) 892-2994
(360) 892-3929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D7955
OR
1223G0001X
General Practice Dentistry
Primary
DE00009284
WA
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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