| Wolf Family Dentistry, Pc. | |
|
3550 W Johnson Rd La Porte IN 46350-8576 | |
| (219) 362-3730 | |
| (219) 324-4273 |
| Full Name | Wolf Family Dentistry, Pc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3550 W Johnson Rd, La Porte, Indiana |
| Authorized Official Name and Position | Renee Ostermiller Wolf (DENTIST) |
| Authorized Official Contact | 2193623730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolf Family Dentistry, Pc. 3550 W Johnson Rd La Porte IN 46350-8576 Ph: (219) 362-3730 | Wolf Family Dentistry, Pc. 3550 W Johnson Rd La Porte IN 46350-8576 Ph: (219) 362-3730 |
| NPI Number | 1174656342 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174656342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12008861 (Indiana) | Primary |
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