Individual
DENNIS E WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
414 TORRANCE BLVD, REDONDO BEACH, CA 90277-3325
(310) 316-1613
(310) 543-2718
Mailing address
414 TORRANCE BLVD, REDONDO BEACH, CA 90277-3325
(310) 316-1613
(310) 543-2718
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC14811
CA
Other
Enumeration date
08/04/2006
Last updated
06/20/2008
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