Organization
GD PA WDS, PLLC
Active
Other names
Wolfe Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
5250 FREEMANSBURG AVE, EASTON, PA 18045-5535
(610) 691-6522
Mailing address
5250 FREEMANSBURG AVE, EASTON, PA 18045-5535
(610) 691-6522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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