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Dr. Nicholas Wilson, D.D.S.

Dentist in Anacortes, WA. Individual provider (NPI-1).

NPI number1154635597
StatusActive
Last updated in NPPESApr 13, 2023

Details

NPI
1154635597
Entity type
Individual (NPI-1)
Name
Dr. Nicholas Wilson
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 27, 2010
Certification date
Apr 13, 2023
Last updated
Apr 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDE60171314WAYes

Practice location

901 8th St
Anacortes, WA 98221-4107

Phone 360-293-8421

Mailing address

901 8th St
Anacortes, WA 98221-4107

Phone 360-293-8421

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