Organization
ROLAND P WOLFERSTETTER DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND PETER WOLFERSTETTER DDS (DENTIST OWNER)
(414) 464-8600
Entity
Organization
Contact information
Practice address
9235 W CAPITOL DR, SUITE 202, MILWAUKEE, WI 53222-1567
(414) 464-8600
(414) 464-8603
Mailing address
9235 W CAPITOL DR, SUITE 202, MILWAUKEE, WI 53222-1567
(414) 464-8600
(414) 464-8603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5002074
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333 72 700
—
WI
Enumeration date
08/31/2006
Last updated
02/26/2013
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