| Paul R Wild Dds Pa | |
|
750 Main St Suite 215 Mendota Heights MN 55118 | |
| (651) 452-0261 | |
| (651) 452-6109 |
| Full Name | Paul R Wild Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 750 Main St, Mendota Heights, Minnesota |
| Authorized Official Name and Position | Paul William Wild (OWNER) |
| Authorized Official Contact | 6514520261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul R Wild Dds Pa 750 Main St Suite 215 Mendota Heights MN 55118 Ph: (651) 452-0261 | Paul R Wild Dds Pa 750 Main St Suite 215 Mendota Heights MN 55118 Ph: (651) 452-0261 |
| NPI Number | 1871155788 |
|---|---|
| Provider Enumeration Date | 07/01/2019 |
| Last Update Date | 11/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871155788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Wild Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Main St Ste 215, Mendota Heights, MN 55118 Phone: 651-452-0261 Fax: 651-452-6109 | |
Mendota Heights Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 Sibley Memorial Hwy, Mendota Heights, MN 55118 Phone: 651-455-4223 Fax: 651-455-0107 | |
Mendota Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Main St, Suite 213, Mendota Heights, MN 55118 Phone: 651-454-1502 Fax: 651-454-1504 |