DR. Paul W Wild, DDS
NPI #1225145501 in Mendota Heights, Minnesota
Provider Information
- NPI Number
- 1225145501
- Entity Type
- Individual
- Name
- DR. Paul W Wild, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 750 HIGHWAY 110
- City
- Mendota Heights
- State
- Minnesota
- ZIP Code
- 55120-1512
- Phone
- (651) 452-0261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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