Individual
WILSON EDWARD HARDY V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
104 W 4TH ST STE E, ABERDEEN, WA 98520-3932
(360) 532-7512
Mailing address
511 YOUNG ST NW, OLYMPIA, WA 98502
(402) 890-0055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61418068
WA
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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