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1457466013
LISA KAREN WILDE
MESQUITE, TX
NPI
1457466013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX TX17243)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
Dr. LISA KAREN WILDE D.D.S.
1515 E KEARNEY ST STE 101
MESQUITE, TX 75149-2688
Phone number: 972-329-0018
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Mailing Address
Dr. LISA KAREN WILDE D.D.S.
318 W TRINITY ST
FORNEY, TX 75126-9561
Phone number: 972-564-3371
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