Individual
JAMIE M WILDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1728 NW 9TH AVE, OKEECHOBEE, FL 34972-4340
(863) 462-5800
Mailing address
1728 NW 9TH AVE, OKEECHOBEE, FL 34972-4340
(863) 462-5800
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
DH21052
FL
124Q00000X
Dental Hygienist
Primary
DH21052
FL
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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