| NPI | 1194434670 |
|---|---|
| Former Legal Business Name | WOOLF DENTAL |
| Entity Type | Organization |
| Authorized Contact | KEVIN JOSEPH KOBLISKA Head Dentist 661-496-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2022-11-23 |