Organization
WOLFE DENTAL CEDAR MILL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN JEFFERY WOLFE DMD (PRESIDENT)
(503) 730-5632
Entity
Organization
Contact information
Practice address
11786 NW CEDAR FALLS DR STE 200, PORTLAND, OR 97229-2787
(503) 751-2735
Mailing address
11786 NW CEDAR FALLS DR STE 200, PORTLAND, OR 97229-2787
(503) 751-2753
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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