NPI | 1518423623 |
---|---|
Doing Business As | WOLTER ADVANCED DENTAL CARE |
Entity Type | Organization |
Authorized Contact | MICHAEL WOLTER President 717-496-9093 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-02-13 |
Last Update Date | 2022-11-21 |