Individual
DR. DUSTIN WYLDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
140 S ROSELLE RD, SUITE D, SCHAUMBURG, IL 60193-5594
(847) 895-8565
Mailing address
140 S ROSELLE RD, SUITE D, SCHAUMBURG, IL 60193-5594
(847) 895-8565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030312
IL
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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