Organization
STEVEN M WOLFRAM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN E TUINEI (CREDENTIALING MANAGER)
(602) 750-6897
Entity
Organization
Contact information
Practice address
11834 BRYANT ST STE 104, YUCAIPA, CA 92399-3848
(909) 797-1452
Mailing address
11834 BRYANT ST STE 104, YUCAIPA, CA 92399-3848
(909) 797-1452
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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