LARRY WILDT

GRAND RAPIDS, MI
NPI1780775130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  11365)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
-- LARRY WILDT D.D.S
2515 ALPINE AVE NW SUITE A
GRAND RAPIDS, MI 49544-1924
Phone number: 616-364-9348
Mailing Address
-- LARRY WILDT D.D.S
1344 WINTERWOOD DR NE
GRAND RAPIDS, MI 49525-3441
Phone number: 616-364-9348
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