| NPI | 1023323144 |
|---|---|
| Doing Business As | DISTINCTIVE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | DANIEL E WILSON Member Of P LLC 360-892-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 00004959) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 00009284) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-11-15 |