Organization
STEVE L WOLF DDS PC
Active
Other names
Legacy Periodontics and Implants
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE L WOLF DDS (PRESIDENT)
(248) 380-8020
Entity
Organization
Contact information
Practice address
23895 NOVI RD, SUITE 200, NOVI, MI 48375-0201
(248) 380-8020
Mailing address
23895 NOVI RD, SUITE 200, NOVI, MI 48375-0201
(248) 380-8020
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
MI
Other
Enumeration date
04/11/2007
Last updated
03/10/2008
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