Individual provider · Type 1 NPI

Christopher Paul Wilde, DMD

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1275986499 Active

Practice location

34800 Bob Wilson Dr, Naval Medical Center San Diego
San Diego, CA 92134-5000

Call (619) 532-7935 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDT-2657 (HI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275986499

Christopher Paul Wilde, DMD's National Provider Identifier is 1275986499, issued on Jul 22, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Jul 22, 2016.