WILLIAM ROY WILDE

VANCOUVER, WA
NPI1922028620
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE00009016)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
Dr. WILLIAM ROY WILDE DMD
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: 360-896-4484
Mailing Address
Dr. WILLIAM ROY WILDE DMD
PO BOX 385
TROUT LAKE, WA 98650-0385
Phone number: 509-395-2002