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1104993591
MARK I WILDE
LAUDERHILL, FL
NPI
1104993591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN9814)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
MARK I WILDE DDS
5280 N UNIVERSITY DR
LAUDERHILL, FL 33351-5018
Phone number: 954-749-4594
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Mailing Address
MARK I WILDE DDS
5280 N UNIVERSITY DR
LAUDERHILL, FL 33351-5018
Phone number: 954-749-4594
Copy
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