Individual
DIANNA JANE WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
514A ELGIN ST, HOUSTON, TX 77006-6602
(713) 942-0101
(713) 942-7014
Mailing address
514A ELGIN ST, HOUSTON, TX 77006-6602
(713) 942-0101
(713) 942-7014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24006
TX
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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