NPI | 1992087282 |
---|---|
Doing Business As | WILSON & WILSON DENTISTRY |
Entity Type | Organization |
Authorized Contact | MICHELLE B WILSON Owner 360-736-1114 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00011026) |
Enumeration Date | 2011-09-13 |
Last Update Date | 2011-09-13 |