| NPI | 1710505011 |
|---|---|
| Doing Business As | ALTOONA PEDIATRIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | PATRICK LYN WOLFE President/Owner 515-967-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |