Angela Marie Wilson, EFDA
Dental Assistant in Longview, WA. Individual provider (NPI-1).
NPI number1376908293
StatusActive
Last updated in NPPESDec 18, 2015
Details
- NPI
- 1376908293
- Entity type
- Individual (NPI-1)
- Name
- Angela Marie Wilson
- Credential
- EFDA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2015
- Last updated
- Dec 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126800000X | Dental Assistant | D1 60250616 | WA | Yes |
Practice location
1230 7th AveLongview, WA 98632-3166
Phone 360-575-4801 · Fax 360-575-4807
Mailing address
1230 7th AveLongview, WA 98632-3166
Phone 360-575-4801 · Fax 360-575-4807
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All 10 Dental Assistant providers in Longview · All 2,229 providers in Longview
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