# WILSON & WILSON, DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wilson & Wilson Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992087282
- **Authorized official:** DR. MICHELLE B WILSON DDS (OWNER)
- **Authorized official phone:** (360) 736-1114

## Contact information

- **Practice address:** 1611 KRESKY AVE STE 118, CENTRALIA, WA 98531-8982
- **Practice address phone:** (360) 736-1114
- **Mailing address:** 1611 KRESKY AVE STE 118, CENTRALIA, WA 98531-8982
- **Mailing address phone:** (360) 736-1114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00011026 | WA | Yes |

## Other

- **Enumeration date:** 09/13/2011
- **Last updated:** 09/13/2011