Organization
UNTIE PLLC
Active
Other names
Untie South Texas
Organization subpart
No
Provider details
NPI number
Authorized official
REX E WILDEY DDS (OWNER/DOCTOR)
(210) 417-4181
Entity
Organization
Contact information
Practice address
10003 NW MILITARY HWY STE 3207, SAN ANTONIO, TX 78231-1892
(210) 417-4181
(210) 504-4969
Mailing address
PO BOX 782387, SAN ANTONIO, TX 78278-2387
(210) 971-6018
(210) 504-4969
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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