Dr. John D Wildgen, DDSPC
Dr. John D Wildgen, DDSPC is a General Practice Dentistry in Laurie, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2007
Practice location Address checks out
128 S Main StLaurie, MO 65038
Phone: (573) 374-5739
Fax: (573) 374-8901
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 013788 (MO) |
|---|
Record details
| NPI number | 1922282995 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDSPC |
| Sole proprietor | Yes |
| NPI enumerated | December 26, 2007 |
| Last updated in NPPES | December 26, 2007 |
| Mailing address | 128 South Main Street, P.O. Box 1083, Laurie, MO 65038 |
Other providers in Laurie
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John D Wildgen DDS PC
128 S Main St, Laurie, MO 65038-1083 · (573) 374-5739