Individual
DR. DOUGLAS ARMIN WILD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2545 PARTRIDGE WDS. CT., BURLINGTON, WI 53105
(262) 248-3934
Mailing address
2545 PARTRIDGE WDS. CT., BURLINGTON, WI 53105
(262) 248-3934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4001948E
WI
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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