Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUCIANA MIRANDA WILTSE, DDS, MS
ActiveLUCIANA MIRANDA WILTSE, DDS, MS is a Orthodontics healthcare provider located in ELM GROVE, Wisconsin. NPI 1962506964 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · ELM GROVE, WI
Registration Details
- NPI Number
- 1962506964
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2006 (19.942834723002 yrs)
- Last Updated
- Apr 15, 2022
- Licenses
-
08191 (IA)6102-15 (WI)
Practice Information
- Address
-
12888 W. BLUEMOUND RD.ELM GROVE, WI, 53122Browse WI providers · Browse ZIP 53122
- Phone
- 2624398233
- Fax
- 2624398246
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.