Angela Marie Wilson
Dental Assistant
1230 7th Ave
Longview
, Washington 98632-3166
Angela Marie Wilson
Dental Assistant
1230 7th Ave
Longview
, Washington 98632-3166
(360) 575-4807
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Angela Marie Wilson
- 1230 7th Ave
- Longview, WA
- Zip : 98632-3166
- Fax : (360) 575-4807
- Phone : (360) 575-4801
Second Address
- Angela Marie Wilson
- 1230 7th Ave
- Longview, WA
- Zip : 98632-3166
- Fax : (360) 575-4807
- Phone : (360) 575-4801
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | D1 60250616 | WA |
National Provider Identifier
| NPI | 1376908293 |
|---|---|
| Provider Name | Angela Marie Wilson |
| First Address | Longview, WA 98632-3166 |
| Second Address | Longview, WA 98632-3166 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/12/2015 |
| Last Update Date | 18/12/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.