| NPI | 1356762223 | 
|---|---|
| Doing Business As | WILDEY PEDIATRIC DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | REX E WILDEY Owner/Doctor 210-417-4181 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 25425) | 
| Enumeration Date | 2013-12-19 | 
| Last Update Date | 2013-12-19 |