Individual
SINEAD WOHLGEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-8508
Mailing address
925 W 34TH ST # 201, LOS ANGELES, CA 90089-0058
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
104546
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2019
Last updated
09/27/2021
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