DR. Louis C Wade, D.D.S.

NPI #1972627933 in Caldwell, Idaho

Provider Information

NPI Number: 1972627933
Entity Type: Individual
Name: DR. Louis C Wade, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 103 E ASH ST
City: Caldwell
State: Idaho
ZIP Code: 83605-5202
Phone: (208) 454-8676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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