Mark I Wilde, DDS
NPI #1104993591 in Lauderhill, Florida
Provider Information
- NPI Number
- 1104993591
- Entity Type
- Individual
- Name
- Mark I Wilde, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5280 N UNIVERSITY DR
- City
- Lauderhill
- State
- Florida
- ZIP Code
- 33351-5018
- Phone
- (954) 749-4594
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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