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Klaus Detlef Wolfram, DDS,MS
Periodontist in Loma Linda, California
NPI 1346498243

Klaus Detlef Wolfram is a Periodontist based in Loma Linda, CA and is specialized in Periodontics. Klaus Detlef Wolfram practices in Loma Linda, CA and has the professional credentials of DDS,MS. The NPI Number for Klaus Detlef Wolfram is 1346498243 and holds a License No. 22036 (California).

The current practice location address for Klaus Detlef Wolfram is 11092 Anderson Street, Loma Linda, CA and can be reached out via phone at 909-558-4613 and via fax at 909-558-4192. You can also correspond with Klaus Detlef Wolfram through the mailing address at 11092 ANDERSON STREET, LOMA LINDA, CA - 92350-0001 (mailing address contact number: 909-558-4613).

Location: 11092 Anderson Street, Loma Linda, CA, 92350-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346498243
Provider Name
Klaus Detlef Wolfram
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
11092 Anderson Street, Loma Linda, CA, 92350-0001
Phone Number
909-558-4613
Fax Number
909-558-4192
Provider Enumeration Date
09/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22036 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
11092 Anderson Street
City
Loma Linda
State
California
Zip
92350-0001
Phone Number
909-558-4613
Fax Number
909-558-4192
person
Provider Business Mailing Address Details
Address
11092 Anderson Street
City
Loma Linda
State
California
Zip
92350-0001
Phone Number
909-558-4613
Fax Number
909-558-4192
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
22036 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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