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Wild Family Dentistry Pllc
Dental Clinic/Center in Mendota Heights, Minnesota
NPI 1598458655

Wild Family Dentistry Pllc is a Dental Clinic/Center based in Mendota Heights, MN and is specialized in Dental. Wild Family Dentistry Pllc practices in Mendota Heights, MN. The NPI Number for Wild Family Dentistry Pllc is 1598458655 and holds a License No. (Minnesota).

The current practice location address for Wild Family Dentistry Pllc is 750 Main St Ste 215, Mendota Heights, MN and can be reached out via phone at 651-452-0261 and via fax at 651-452-6109.

Location: 750 Main St Ste 215, Mendota Heights, MN, 55118-3768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598458655
Provider Name
Wild Family Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
750 Main St Ste 215, Mendota Heights, MN, 55118-3768
Phone Number
651-452-0261
Fax Number
651-452-6109
Provider Enumeration Date
06/02/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
750 Main St Ste 215
City
Mendota Heights
State
Minnesota
Zip
55118-3768
Phone Number
651-452-0261
Fax Number
651-452-6109
person
Provider Business Mailing Address Details
Address
750 Main St Ste 215
City
Mendota Heights
State
Minnesota
Zip
55118-3768
Phone Number
651-452-0261
Fax Number
651-452-6109
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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