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Individual

DR. GREGGORY S WILDE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3594 NW LOWELL ST, SILVERDALE, WA 98383-9116
(360) 692-0300
(360) 698-2998
Mailing address
6731 KITSAP WAY, BREMERTON, WA 98312-1739
(360) 373-1876

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
WA

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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