DR. Michelle Bergmann Wilson, DDS
NPI #1104026483 in Centralia, Washington
Provider Information
- NPI Number
- 1104026483
- Entity Type
- Individual
- Name
- DR. Michelle Bergmann Wilson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 24, 2007
- Last Updated
- Jul 10, 2008
Practice Location
- Address
- 1611 KRESKY AVE
- Address 2
- SUITE 118
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-8982
- Phone
- (360) 736-1114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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