Individual
ALAN DAVID WILDING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1747 HERITAGE LN, SUITE A-1, SYRACUSE, UT 84075-8552
(801) 525-1415
(801) 525-0583
Mailing address
224 W 575 S, LAYTON, UT 84041-7774
(801) 546-3899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5149857
UT
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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