John D Wildgen DDS PC
NPI #1831208594 in Laurie, Missouri
Provider Information
- NPI Number
- 1831208594
- Entity Type
- Organization
- Organization Name
- John D Wildgen DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Dec 17, 2007
Practice Location
Authorized Official
- Name
- DR. JOHN D WILDGEN, DDS
- Title
- PRESIDENT
- Phone
- (573) 374-5739
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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