Wilde, Brian Robert

Wilde, Brian Robert is an sole proprietor health care provider with primary practice located at 1320 W Ina Rd , Tucson AZ 85704-3115. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Wilde, Brian Robert can be contacted via phone (520) 742-1232.

Contact Information

Primary practice address
1320 W Ina Rd Tucson AZ 85704-3115
Phone: (520) 742-1232
Fax: (520) 742-0925
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D010529 Arizona

Profile Details

NPI number 1083055305
LBN Legal business name Wilde, Brian Robert
Credentials DMD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2013
Last updated Jun 8th, 2020 - about 6 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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