Wild, Laura Jane

Wild, Laura Jane is an individual health care provider with primary practice located at 2960 No Snelling Ave , Roseville MN 55113. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Wild, Laura Jane can be contacted via phone (651) 636-5033.

Contact Information

Primary practice address
2960 No Snelling Ave Roseville MN 55113
Phone: (651) 636-5033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9576 Minnesota

Profile Details

NPI number 1912914235
LBN Legal business name Wild, Laura Jane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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