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1083055305
BRIAN ROBERT WILDE
TUCSON, AZ
NPI
1083055305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: AZ D010529)
Enumeration Date
2013-07-15
Last Update Date
2020-06-08
Business Address
Dr. BRIAN ROBERT WILDE DMD, MS
1320 W INA RD
TUCSON, AZ 85704-3115
Phone number: 520-742-1232
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Mailing Address
Dr. BRIAN ROBERT WILDE DMD, MS
1320 W INA RD
TUCSON, AZ 85704-3115
Phone number: 575-522-1779
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