Wolfram Dental Corporation
NPI #1285219725 in La Quinta, California
Provider Information
- NPI Number
- 1285219725
- Entity Type
- Organization
- Organization Name
- Wolfram Dental Corporation
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 16, 2021
- Last Updated
- Mar 16, 2021
Practice Location
- Address
- 78461 HIGHWAY 111
- City
- La Quinta
- State
- California
- ZIP Code
- 92253-2076
- Phone
- (760) 564-5455
Authorized Official
- Name
- BENJAMIN E TUINEI
- Title
- CREDENTIALING MANAGER
- Phone
- (602) 750-6897
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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