| NPI | 1952538928 |
|---|---|
| Former Name | MARY ADDISON WOLFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN013886) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN013886) |
| 122300000X Dentist (Licence: KY 8938) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2014-01-24 |