Organization
JUPITER FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD L WOLFE DDS (PRESIDENT)
(561) 746-2332
Entity
Organization
Contact information
Practice address
6779 W INDIANTOWN RD, #17, JUPITER, FL 33458
(561) 746-2332
(561) 746-1815
Mailing address
6779 W INDIANTOWN RD, #17, JUPITER, FL 33458
(561) 746-2332
(561) 746-1815
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
443467
UNITED CONCORDIA
—
01
—
60589
BLUE CROSS BLUE SHEILD
—
Enumeration date
07/22/2008
Last updated
07/22/2008
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