| Wolfram Dental Corporation | |
|
78461 Highway 111 La Quinta CA 92253-2076 | |
| (760) 564-5455 | |
| Not Available |
| Full Name | Wolfram Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 78461 Highway 111, La Quinta, California |
| Authorized Official Name and Position | Benjamin E Tuinei (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6027506897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolfram Dental Corporation 78461 Highway 111 La Quinta CA 92253-2076 Ph: () - | Wolfram Dental Corporation 78461 Highway 111 La Quinta CA 92253-2076 Ph: (760) 564-5455 |
| NPI Number | 1285219725 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285219725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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