Search › New Mexico › 122300000X
Lewis Wilde, DDS
NPI 1922673599 · on the registry since 2021
Practice
- Address
- 1601 S Second St
Gallup, NM 87301 - Phone
- (505) 722-4422
- Fax
- (505) 722-2060
- Organisation at this address
- Sundance Dental Care Of Gallup
1601 2nd Street Gallup Professional, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico