Individual provider · Type 1 NPI

Mitzi M. Wade, DDS

General Practice Dentistry · Cullman, AL

NPI number 1124203013 Active

About NPI 1124203013

Mitzi M. Wade, DDS's National Provider Identifier is 1124203013, issued on Jan 9, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Cullman, AL. The record was last updated on Mar 29, 2011.