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Organization
NUTTERWILSON PLLC
Active
Organization
NUTTERWILSON PLLC
Active
Other names
Distinctive Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL E WILSON DMD (OWNER)
(360) 892-1170
Entity
Organization
Contact information
Practice address
601 SE 117TH AVE STE 230, VANCOUVER, WA 98683-5297
(360) 892-1170
(360) 604-1172
Mailing address
601 SE 117TH AVE STE 230, VANCOUVER, WA 98683-5297
(360) 892-1170
(360) 604-1172
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE000092841
WA
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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