| NPI | 1053836619 |
|---|---|
| Doing Business As | WILDCREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | AUSTIN COPE Owner 916-220-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 6865) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-07-21 |