DR. Lisa Karen Wilde, D.D.S.

NPI #1457466013 in Mesquite, Texas

Provider Information

NPI Number
1457466013
Entity Type
Individual
Name
DR. Lisa Karen Wilde, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1515 E KEARNEY ST STE 101
State
Texas
ZIP Code
75149-2688
Phone
(972) 329-0018

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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