DR. Ellen Paulisick Wolf, D.D.S, FAGD

NPI #1407138795 in Mt Pleasant, South Carolina

Provider Information

NPI Number: 1407138795
Entity Type: Individual
Name: DR. Ellen Paulisick Wolf, D.D.S, FAGD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S, FAGD
Enumeration Date: Sep 13, 2011
Last Updated: Jun 21, 2023

Practice Location

Address: 405 FAISON ROAD
Address 2: SUITE 103
City: Mt Pleasant
State: South Carolina
ZIP Code: 29466
Phone: (843) 654-1373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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