Angela Marie Wilson, EFDA

NPI #1376908293 in Longview, Washington

Provider Information

NPI Number: 1376908293
Entity Type: Individual
Name: Angela Marie Wilson, EFDA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Credential: EFDA
Enumeration Date: Dec 18, 2015
Last Updated: Dec 18, 2015

Practice Location

Address: 1230 7TH AVE
City: Longview
State: Washington
ZIP Code: 98632-3166
Phone: (360) 575-4801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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