Irvin Larry Wilder, DDS

NPI #1902008865 in Randallstown, Maryland

Provider Information

NPI Number: 1902008865
Entity Type: Individual
Name: Irvin Larry Wilder, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 4, 2007
Last Updated: Oct 16, 2019

Practice Location

Address: 9015 #1 LIBERTY RD.
City: Randallstown
State: Maryland
ZIP Code: 21133
Phone: (410) 922-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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