Greggory S. Wilde, Dds, Ps

NPI 1497845523 - Dentist - 1223P0300X

NPI Details
NPI 1497845523
Enumeration Date 10/12/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GREGGORY WAYNE SCOTT GREGGORY
Position PRESIDENT
Phone (360) 692-0300
Fax (360) 698-2988
Practice Location
3594 NW LOWELL ST
SILVERDALE WA, 98383-9116, US
Phone (360) 692-0300
Fax (360) 698-2988
Business Location
PO BOX 1970
SILVERDALE WA, 98383-1970, US
Phone (360) 692-0300
Fax (360) 698-2988
Toxanomy
Taxonomy Code 1223P0300X
License State Washington
License Number DE00004274
Remove 1497845523 NPI Number
 

According to our database, Greggory S. Wilde, Dds, Ps NPI is 1497845523, taxonomy code is 1223P0300X and license number is DE00004274, license state is located at Washington. Greggory S. Wilde, Dds, Ps physically located at 3594 Nw Lowell St, Silverdale WA, 98383-9116. NPI Number 1033115704 has the healthcare provider type.

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1497845523 NPI number is provided on an as is basis without warranty of any kind. 1497845523 is maintained by the National Plan & Provider Enumeration System. The contents of Greggory S. Wilde, Dds, Ps are for informational purposes only.