Jerold C Wilde, DDS MS
NPI #1588630099 in Pasco, Washington
Provider Information
- NPI Number
- 1588630099
- Entity Type
- Individual
- Name
- Jerold C Wilde, DDS MS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Periodontics
- Credential
- DDS MS
- Enumeration Date
- Feb 24, 2006
- Last Updated
- Nov 9, 2011
Practice Location
- Address
- 515 W COURT ST
- City
- Pasco
- State
- Washington
- ZIP Code
- 99301-3737
- Phone
- (509) 547-2204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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