| 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 |