Individual
MICHELLE SARKISSIAN WULF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
40 NORTHCREST DR STE 2, COUNCIL BLUFFS, IA 51503-1622
(712) 323-7589
(712) 323-8255
Mailing address
1101 COBBLESTONE DR, LINCOLN, NE 68510-4442
(712) 323-7589
(712) 323-8255
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
08508
IA
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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