Organization
A WULFSOHN DMD PC
Active
Other names
Lake View Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIELLE WULFSOHN DMD (DENTIST)
(773) 573-6052
Entity
Organization
Contact information
Practice address
1014 W BELMONT AVE, CHICAGO, IL 60657-3303
(773) 472-6322
(773) 472-6321
Mailing address
1014 W BELMONT AVE, CHICAGO, IL 60657-3303
(773) 573-6052
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871945246
DENTIST
IL
Enumeration date
06/09/2021
Last updated
12/06/2022
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