William Louis Wilkie DMD

NPI 1013051028 - Dentist - 1223S0112X

NPI Details
NPI 1013051028
Gender Male
Enumeration Date 02/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7136 UNIVERSITY AVE NE
FRIDLEY MN, 55432-3100, US
Phone (763) 574-1639
Fax
Business Location
7136 UNIVERSITY AVE NE
FRIDLEY MN, 55432-3100, US
Phone (763) 574-1639
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Minnesota
License Number D10783
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According to our database, William Louis Wilkie DMD NPI is 1013051028, taxonomy code is 1223S0112X and license number is D10783, license state is located at Minnesota. William Louis Wilkie DMD physically located at 7136 University Ave Ne, Fridley MN, 55432-3100. NPI Number William Louis Wilkie DMD has the Individual type.

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1013051028 NPI number is provided on an as is basis without warranty of any kind. 1013051028 is maintained by the National Plan & Provider Enumeration System. The contents of William Louis Wilkie DMD are for informational purposes only.