| SM Wolfram DDS Inc | |
|
42500 Bob Hope Dr Ste 1 Rancho Mirage CA 92270-4431 | |
| (760) 568-2797 | |
| Not Available |
| Full Name | SM Wolfram DDS Inc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 42500 Bob Hope Dr Ste 1, Rancho Mirage, California |
| Authorized Official Name and Position | Benjamin Tuinei (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8888084513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| SM Wolfram DDS Inc 42500 Bob Hope Dr Ste 1 Rancho Mirage CA 92270-4431 Ph: (760) 568-2797 | SM Wolfram DDS Inc 42500 Bob Hope Dr Ste 1 Rancho Mirage CA 92270-4431 Ph: (760) 568-2797 |
| NPI Number | 1912643966 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912643966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | () | Primary |
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