Organization
NUTTER & WILSON PLLC
Active
Other names
Distinctive Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL E WILSON DMD (MEMBER OF PLLC)
(360) 892-1170
Entity
Organization
Contact information
Practice address
601 SE 117TH AVE, SUITE 230, VANCOUVER, WA 98683-5297
(360) 892-1170
(360) 604-1172
Mailing address
601 SE 117TH AVE, SUITE 230, VANCOUVER, WA 98683-5297
(360) 892-1170
(360) 604-1172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00004959
WA
1223G0001X
General Practice Dentistry
00009284
WA
Other
Enumeration date
08/12/2010
Last updated
11/15/2010
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