Individual
JORGE WILDER UBAU
Active
Individual
JORGE WILDER UBAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
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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