Individual
JORGE WILDER UBAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
710 ALTON RD, MIAMI BEACH, FL 33139-5504
(305) 538-8835
(305) 994-0054
Mailing address
11645 BISCAYNE BLVD STE 207, MIAMI, FL 33181-3138
(305) 538-8835
(305) 994-0054
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH15723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113633000
—
FL
Enumeration date
12/16/2018
Last updated
10/15/2025
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