Individual
DR. DANIEL EDWIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16703 SE MCGILLIVRAY BLVD STE 100, VANCOUVER, WA 98683-3418
(360) 892-2994
Mailing address
801 NW 44TH AVE, CAMAS, WA 98607-4309
(360) 314-8723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D7955
OR
1223G0001X
General Practice Dentistry
Primary
DE00009284
WA
Other
Enumeration date
03/21/2007
Last updated
07/21/2022
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