| NPI | 1558672733 |
|---|---|
| Former Name | KATHERINE ANNE WILD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN D12843) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN D12843) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2025-03-17 |