Wild Family Dentistry Pllc
NPI #1598458655 in Mendota Heights, Minnesota
Provider Information
- NPI Number
- 1598458655
- Entity Type
- Organization
- Organization Name
- Wild Family Dentistry Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 2, 2023
- Last Updated
- Jun 2, 2023
Practice Location
- Address
- 750 MAIN ST STE 215
- City
- Mendota Heights
- State
- Minnesota
- ZIP Code
- 55118-3768
- Phone
- (651) 452-0261
Authorized Official
- Name
- DR. LAURA ELIZABETH WILD, DDS
- Title
- PRESIDENT
- Phone
- (612) 327-4582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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