Organization
SM WOLFRAM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN TUINEI (CREDENTIALING MANAGER)
(888) 808-4513
Entity
Organization
Contact information
Practice address
42500 BOB HOPE DR STE 1, RANCHO MIRAGE, CA 92270-4431
(760) 568-2797
Mailing address
42500 BOB HOPE DR STE 1, RANCHO MIRAGE, CA 92270-4431
(760) 568-2797
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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