DR. BRADEN WILDE, DDS, MSD
Dentist - Orthodontics and Dentofacial Orthopedics
Active
Individual
NPI: 1780099788
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | D-4592 (ID) |
| Dentist - Orthodontics and Dentofacial Orthopedics | 1223X0400X | Yes | 6258159-9922 (UT) |
Frequently Asked Questions
NPI 1780099788 is the National Provider Identifier for DR. BRADEN WILDE, DDS, MSD, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Salt Lake City, UT. This NPI was enumerated on June 27, 2014.
DR. BRADEN WILDE, DDS, MSD practices at 1400 S FOOTHILL DR STE 240, Salt Lake City, UT 84108.
Quick Facts
- NPI
- 1780099788
- Type
- Individual
- Enumerated
- Jun 27, 2014
- Last Updated
- Jun 15, 2023
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