Individual
DR. OWEN E WOLFGRAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2476 N UNIVERSITY PKWY STE 101, PROVO, UT 84604-3801
(801) 373-2060
(801) 375-6155
Mailing address
2476 N UNIVERSITY PKWY STE 101, PROVO, UT 84604-3801
(801) 373-2060
(801) 375-6155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5932574-8903
UT
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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