| Wilson & Wilson Dentistry | |
|
1611 Kresky Ave Ste 118 Centralia WA 98531-8982 | |
| (360) 736-1114 | |
| Not Available |
| Full Name | Wilson & Wilson Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1611 Kresky Ave Ste 118, Centralia, Washington |
| Authorized Official Name and Position | Michelle B Wilson (OWNER) |
| Authorized Official Contact | 3607361114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson & Wilson Dentistry 1611 Kresky Ave Ste 118 Centralia WA 98531-8982 Ph: (360) 736-1114 | Wilson & Wilson Dentistry 1611 Kresky Ave Ste 118 Centralia WA 98531-8982 Ph: (360) 736-1114 |
| NPI Number | 1992087282 |
|---|---|
| Provider Enumeration Date | 09/13/2011 |
| Last Update Date | 09/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992087282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00011026 (Washington) | Primary |
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