| Dr Lewis Clark Wilde, DDS | |
|
1601 S Second St, Gallup, NM 87301-5816 | |
| (505) 722-4422 | |
| (505) 722-2060 |
| Full Name | Dr Lewis Clark Wilde |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1601 S Second St, Gallup, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922673599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD5467 (New Mexico) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lewis Clark Wilde, DDS 2001 Mariyana Ave, Gallup, NM 87301-5627 Ph: (435) 669-0156 | Dr Lewis Clark Wilde, DDS 1601 S Second St, Gallup, NM 87301-5816 Ph: (505) 722-4422 |
Timothy L. Ambrose, DDS Dentist Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1565 | |
Jovito G Sabal, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1565 | |
Dr. Gary Bruce Woodcock, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1560 Fax: 505-722-1563 | |
Dr. Erin Maille Montano, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 802 Us Highway 491, Gallup, NM 87301 Phone: 505-862-5018 | |
Dr. Dain Charles Hubley, DMD Dentist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Bo Tran, DDS Dentist Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Dr. Eduardo J Valda, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 107 W Green St, Gallup, NM 87301 Phone: 505-870-6128 |