Organization
WILSON & WILSON, DDS PLLC
Active
Other names
Wilson & Wilson Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE B WILSON DDS (OWNER)
(360) 736-1114
Entity
Organization
Contact information
Practice address
1611 KRESKY AVE STE 118, CENTRALIA, WA 98531-8982
(360) 736-1114
Mailing address
1611 KRESKY AVE STE 118, CENTRALIA, WA 98531-8982
(360) 736-1114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00011026
WA
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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