ROBERT CARL WILDE

NEWBERG, OR
NPI1710097514
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: OR  D5798)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Dr. ROBERT CARL WILDE DMD
201 N WASHINGTON ST
NEWBERG, OR 97132-2727
Phone number: 503-538-2560
Mailing Address
Dr. ROBERT CARL WILDE DMD
14800 SW BULL MOUNTAIN RD
TIGARD, OR 97224-1233
Phone number: 503-590-1480