Individual
SONYA MICHELLE WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
USCG 2100 2ND ST SW SUITE 5314, WASHINGTON, DC 20593-0001
(360) 642-5992
Mailing address
USCG 2100 2ND ST SW SUITE 5314, WASHINGTON, DC 20593-0001
(360) 642-5992
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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