Organization
WOLF AND BEAR DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DELISLE (OWNER)
(425) 306-2579
Entity
Organization
Contact information
Practice address
3023 BUNKER HILL ST STE 105, SAN DIEGO, CA 92109-5706
(425) 306-2579
Mailing address
3023 BUNKER HILL ST STE 105, SAN DIEGO, CA 92109-5706
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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