Individual
DR. ELLEN PAULISICK WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S, FAGD
Contact information
Practice address
405 FAISON ROAD, SUITE 103, MT PLEASANT, SC 29466
(843) 654-1373
Mailing address
405 FAISON RD STE 103, MT PLEASANT, SC 29466-9527
(843) 654-1373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15171
MD
122300000X
Dentist
Primary
9462
SC
Other
Enumeration date
09/13/2011
Last updated
06/21/2023
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