Individual
TRAVIS WILDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1734 THIERER RD, MADISON, WI 53704-3718
(608) 244-6888
Mailing address
9052 N DEERBROOK TRL, MILWAUKEE, WI 53223-2474
(414) 357-2040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6224
WI
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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