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Organization

DANIEL E. WILSON, DMD PC

Active
Other names
CASCADE DENTAL
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL EDWIN WILSON DMD (PRESIDENT/OWNER)
(360) 314-8723
Entity
Organization

Contact information

Practice address
16703 SE MCGILLIVRAY BLVD STE 100, VANCOUVER, WA 98683-3418
(360) 892-2994
(360) 892-3929
Mailing address
16703 SE MCGILLIVRAY BLVD STE 100, VANCOUVER, WA 98683-3418
(360) 892-2994
(360) 892-3929

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D7955
OR
1223G0001X
General Practice Dentistry
Primary
DE00009284
WA

Other

Enumeration date
02/21/2018
Last updated
02/21/2018
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