WADE WILSON

VALPARAISO, IN
NPI1629639018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12013223A)
Enumeration Date2019-06-26
Last Update Date2019-06-26
Business Address
WADE WILSON
334 W US HIGHWAY 30 STE G
VALPARAISO, IN 46385-5395
Phone number: 219-464-9887
Mailing Address
WADE WILSON
334 W US HIGHWAY 30 STE G
VALPARAISO, IN 46385-5395
Phone number: 219-464-9887
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