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1922028620
WILLIAM ROY WILDE
VANCOUVER, WA
NPI
1922028620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00009016)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Dr. WILLIAM ROY WILDE DMD
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: 360-896-4484
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Mailing Address
Dr. WILLIAM ROY WILDE DMD
PO BOX 385
TROUT LAKE, WA 98650-0385
Phone number: 509-395-2002
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