Individual
MS. SHARON WILDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
MILWAUKEE VAMC DENTAL CLINIC, 5000 NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 389-4162
Mailing address
6401 W WILBUR AVE, MILWAUKEE, WI 53220-1351
(414) 384-2000
(414) 389-4162
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1001614-016
WI
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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