Organization
WILDE ORTHODONTICS, PLLC
Active
Other names
Orthodontic Specialists of Tucson
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN WILDE DMD. MS (ORTHODONTIST)
(520) 742-1232
Entity
Organization
Contact information
Practice address
1320 W INA RD, TUCSON, AZ 85704-3115
(520) 742-1232
(520) 742-0925
Mailing address
1320 W INA RD, TUCSON, AZ 85704-3115
(520) 742-1232
(520) 742-0925
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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