Individual
DR. WADE AUSTEN PILLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4795 N. SUMMIT WAY, SUITE 1120, MERIDIAN, ID 83646
(208) 888-0662
(208) 888-0863
Mailing address
4795 N. SUMMIT WAY, SUITE 1120, MERIDIAN, ID 83642
(208) 888-0662
(208) 888-0863
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3877
ID
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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