Individual
DR. PAUL W WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
750 HIGHWAY 110, MENDOTA HEIGHTS, MN 55120-1512
(651) 452-0261
(651) 452-6109
Mailing address
750 HIGHWAY 110, MENDOTA HEIGHTS, MN 55120-1512
(651) 452-0261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MN 9490
MN
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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