LISA KAREN WILDE

MESQUITE, TX
NPI1457466013
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  TX17243)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
Dr. LISA KAREN WILDE D.D.S.
1515 E KEARNEY ST STE 101
MESQUITE, TX 75149-2688
Phone number: 972-329-0018
Mailing Address
Dr. LISA KAREN WILDE D.D.S.
318 W TRINITY ST
FORNEY, TX 75126-9561
Phone number: 972-564-3371