MR. Dan R Wilson, DDS

NPI #1346351525 in Pomeroy, Washington

Provider Information

NPI Number: 1346351525
Entity Type: Individual
Name: MR. Dan R Wilson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 31, 2006
Last Updated: Mar 6, 2019

Practice Location

Address: 813 1/2 COLUMBIA STREET
Address 2: 813 1/2 COLUMBIA #99
City: Pomeroy
State: Washington
ZIP Code: 99347
Phone: (509) 834-3495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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