# NUTTERWILSON PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Distinctive Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750516639
- **Authorized official:** DR. DANIEL E WILSON DMD (OWNER)
- **Authorized official phone:** (360) 892-1170

## Contact information

- **Practice address:** 601 SE 117TH AVE STE 230, VANCOUVER, WA 98683-5297
- **Practice address phone:** (360) 892-1170
- **Practice address fax:** (360) 604-1172
- **Mailing address:** 601 SE 117TH AVE STE 230, VANCOUVER, WA 98683-5297
- **Mailing address phone:** (360) 892-1170
- **Mailing address fax:** (360) 604-1172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE000092841 | WA | Yes |

## Other

- **Enumeration date:** 05/21/2009
- **Last updated:** 05/21/2009