Organization
WOLF FAMILY DENTISTRY, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE OSTERMILLER WOLF D.D.S. (DENTIST)
(219) 362-3730
Entity
Organization
Contact information
Practice address
3550 W JOHNSON RD, LA PORTE, IN 46350-8576
(219) 362-3730
(219) 324-4273
Mailing address
3550 W JOHNSON RD, LA PORTE, IN 46350-8576
(219) 362-3730
(219) 324-4273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008861
IN
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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