Individual
REX ELWYN WILDEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
10003 NW MILITARY HWY, SUITE 3201, SAN ANTONIO, TX 78231
(210) 417-4181
(210) 417-4181
Mailing address
10003 NW MILITARY HWY, SUITE 3201, SAN ANTONIO, TX 78231-1885
(210) 417-4181
(210) 417-4181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
25425
TX
1223P0221X
Pediatric Dentistry
Primary
25425
TX
Other
Enumeration date
05/28/2010
Last updated
06/21/2018
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