Lisa Wilde, D.D.S

NPI 1457466013 · on the registry since 2006 · sole proprietor

Practice

Address: 1515 E Kearney St Ste 101
Mesquite, TX 75149
Phone: (972) 329-0018
Fax: (972) 329-0019
Organisation at this address: Ambazone Home Health Llc
Ebenezer Home Health Care Llc
Lighthouse Behavioral Wellness Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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 Texas