Wild Child Orthodontics

NPI #1972296481 in Lakeville, Minnesota

Provider Information

NPI Number
1972296481
Entity Type
Organization
Organization Name
Wild Child Orthodontics
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 31, 2023
Last Updated
May 31, 2023

Practice Location

Address
17677 CEDAR AVE
ZIP Code
55044-2250
Phone
(952) 903-9484

Authorized Official

Name
DR. JUSTIN WILD, DDS
Title
DOCTOR
Phone
(952) 903-9484

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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