Jerold C Wilde, DDSMS
Jerold C Wilde, DDSMS is a Periodontics in Pasco, Washington. Licensed in Washington. Registered with an NPI since 2006.
- Licensed in
- WA
- In the registry since
- 2006
Practice location Address checks out
515 W Court StPasco, WA 99301-3737
Phone: (509) 547-2204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence DE00009195 (WA) |
|---|
Record details
| NPI number | 1588630099 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDSMS |
| Sole proprietor | No |
| NPI enumerated | February 24, 2006 |
| Last updated in NPPES | November 9, 2011 |
| Mailing address | Po Box 1452, Pasco, WA 99301-1223 |