Wolfram Dental Corporation | |
78461 Highway 111 La Quinta CA 92253-2076 | |
(760) 564-5455 | |
Not Available |
Full Name | Wolfram Dental Corporation |
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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 |
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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 |
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Provider Enumeration Date | 03/16/2021 |
Last Update Date | 03/16/2021 |
Identifier | Type | State | Issuer |
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1285219725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Rita Christine Soto Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 78900 Avenue 47, Ste. 110, La Quinta, CA 92253 Phone: 760-771-8334 Fax: 760-771-8337 | |