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Dr. Douglas C Wilson, DDS
Oral and Maxillofacial Surgery (Dentist) in Yakima, Washington
NPI 1811071483

Douglas C Wilson is a Oral and Maxillofacial Surgery (Dentist) based in Yakima, WA and is specialized in Oral and Maxillofacial Surgery. Douglas C Wilson practices in Yakima, WA and has the professional credentials of DDS. The NPI Number for Douglas C Wilson is 1811071483 and holds a License No. 4818 (Washington).

The current practice location address for Douglas C Wilson is 4207 Tieton Drive, Yakima, WA and can be reached out via phone at 509-965-8911 and via fax at 509-965-6143.

Location: 4207 Tieton Drive, Yakima, WA, 98908-3347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811071483
Provider Name
Douglas C Wilson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4207 Tieton Drive, Yakima, WA, 98908-3347
Phone Number
509-965-8911
Fax Number
509-965-6143
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5504303 05 WA
institution
Provider Business Practice Location Address Details
Address
4207 Tieton Drive
City
Yakima
State
Washington
Zip
98908-3347
Phone Number
509-965-8911
Fax Number
509-965-6143
person
Provider Business Mailing Address Details
Address
4207 Tieton Drive
City
Yakima
State
Washington
Zip
98908-3347
Phone Number
509-965-8911
Fax Number
509-965-6143
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
4818 (Washington)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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