JUSTIN RICHARD WILD

EDEN PRAIRIE, MN
NPI1043500648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MN  D13192)
Enumeration Date2011-04-15
Last Update Date2025-12-23
Business Address
Dr. JUSTIN RICHARD WILD D.D.S.
11800 SINGLETREE LN
EDEN PRAIRIE, MN 55344-5328
Phone number: 952-237-8619
Mailing Address
Dr. JUSTIN RICHARD WILD D.D.S.
9651 WYOMING TER S
BLOOMINGTON, MN 55438-1606
Phone number: 952-237-8619