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Individual

DR. THOMAS WILD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6516 M D ANDERSON BLVD, SUITE 352, HOUSTON, TX 77030-3402
(713) 500-4141
(713) 500-4179
Mailing address
6516 M D ANDERSON BLVD, SUITE 352, HOUSTON, TX 77030-3402
(713) 500-4141
(713) 500-4179

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8103
TX

Other

Enumeration date
08/20/2007
Last updated
08/20/2007
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