| Steven M Wolfram DDS Inc | |
|
11834 Bryant St Ste 104 Yucaipa CA 92399-3848 | |
| (909) 797-1452 | |
| Not Available |
| Full Name | Steven M Wolfram DDS Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11834 Bryant St Ste 104, Yucaipa, 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 |
|---|---|
| Steven M Wolfram DDS Inc 11834 Bryant St Ste 104 Yucaipa CA 92399-3848 Ph: (909) 797-1452 | Steven M Wolfram DDS Inc 11834 Bryant St Ste 104 Yucaipa CA 92399-3848 Ph: (909) 797-1452 |
| NPI Number | 1780279430 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780279430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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