JEROLD C WILDE

PASCO, WA
NPI1588630099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: WA  DE00009195)
Enumeration Date2006-02-24
Last Update Date2011-11-09
Business Address
-- JEROLD C WILDE DDS MS
515 W COURT ST
PASCO, WA 99301-3737
Phone number: 509-547-2204
Mailing Address
-- JEROLD C WILDE DDS MS
PO BOX 1452
PASCO, WA 99301-1223
Phone number: 509-547-2204
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