Wilde, Blake

Wilde, Blake is an individual health care provider with primary practice located at 10455 Double R Blvd , Reno NV 89521-8905. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Wilde, Blake can be contacted via phone (775) 823-9797.

Contact Information

Primary practice address
10455 Double R Blvd Reno NV 89521-8905
Phone: (775) 823-9797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 6270 Nevada

Profile Details

NPI number 1366706087
LBN Legal business name Wilde, Blake
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Jun 27th, 2012 - about 13 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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