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 |