Individual
MS. DONNA CAROLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3139
Mailing address
6612 NE 140TH AVE, VANCOUVER, WA 98682-5914
(360) 260-3594
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004527
WA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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