institution
Marc W Wild Dds Inc
Dental Clinic/Center in Huntington, West Virginia
NPI 1487829800

Marc W Wild Dds Inc is a Dental Clinic/Center based in Huntington, WV and is specialized in Dental. Marc W Wild Dds Inc practices in Huntington, WV. The NPI Number for Marc W Wild Dds Inc is 1487829800 and holds a License No. 2466 (West Virginia).

The current practice location address for Marc W Wild Dds Inc is 1104 5Th Ave, Huntington, WV and can be reached out via phone at 304-523-8671 and via fax at 304-523-8674.

Location: 1104 5Th Ave, Huntington, WV, 25701-2205
institution
Provider Profile Details
NPI Number
1487829800
Provider Name
Marc W Wild Dds Inc
Credential
Provider Entity Type
Organization
Address
1104 5Th Ave, Huntington, WV, 25701-2205
Phone Number
304-523-8671
Fax Number
304-523-8674
Provider Enumeration Date
04/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0136461000 05 WV
institution
Provider Business Practice Location Address Details
Address
1104 5Th Ave
City
State
Zip
25701-2205
Phone Number
304-523-8671
Fax Number
304-523-8674
person
Provider Business Mailing Address Details
Address
1104 5Th Ave
City
State
Zip
25701-2205
Phone Number
304-523-8671
Fax Number
304-523-8674
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
2466 (West Virginia)
Definition
Definition to come...
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