Organization
RWPK LLC
Active
Parent organization
RWPK LLC
Other names
Kerrville Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
RWPK LLC
Authorized official
REX ELWYN WILDEY DDS (OWNER)
(830) 255-4197
Entity
Organization
Contact information
Practice address
715 HILL COUNTRY DR STE 5, KERRVILLE, TX 78028-5965
(830) 255-4197
Mailing address
715 HILL COUNTRY DR STE 5, KERRVILLE, TX 78028-5965
(830) 255-4197
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
25425
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211746707
—
TX
Enumeration date
10/19/2015
Last updated
03/01/2016
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