Paul R Wild DDS PA
NPI #1871155788 in Mendota Heights, Minnesota
Provider Information
- NPI Number
- 1871155788
- Entity Type
- Organization
- Organization Name
- Paul R Wild DDS PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 1, 2019
- Last Updated
- Nov 7, 2019
Practice Location
- Address
- 750 MAIN ST
- Address 2
- SUITE 215
- City
- Mendota Heights
- State
- Minnesota
- ZIP Code
- 55118
- Phone
- (651) 452-0261
Authorized Official
- Name
- DR. PAUL WILLIAM WILD, DDS
- Title
- OWNER
- Phone
- (651) 452-0261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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