Wild, Paul W

Wild, Paul W is an individual health care provider with primary practice located at 750 Highway 110 , Mendota Heights MN 55120-1512. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wild, Paul W can be contacted via phone (651) 452-0261.

Contact Information

Primary practice address
750 Highway 110 Mendota Heights MN 55120-1512
Phone: (651) 452-0261
Fax: (651) 452-6109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X MN 9490 Minnesota

Profile Details

NPI number 1225145501
LBN Legal business name Wild, Paul W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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