Payden Ty Wildman, DDS

NPI #1265885719 in Carson City, Nevada

Provider Information

NPI Number: 1265885719
Entity Type: Individual
Name: Payden Ty Wildman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 20, 2016
Last Updated: Jul 20, 2016

Practice Location

Address: 885 VALLEY CREST DR
City: Carson City
State: Nevada
ZIP Code: 89705-6881
Phone: (435) 764-3924

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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