| NPI | 1083504591 |
|---|---|
| Doing Business As | WILDHORSE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DHANIELE MILLER Owner 636-537-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-17 |