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Ms. Carla Roxann Wolfrum, LD
Denturist in Sandpoint, Idaho
NPI 1609045681

Carla Roxann Wolfrum is a Denturist based in Sandpoint, ID. Carla Roxann Wolfrum practices in Sandpoint, ID and has the professional credentials of LD. The NPI Number for Carla Roxann Wolfrum is 1609045681 and holds a License No. LD9 (Idaho).

The current practice location address for Carla Roxann Wolfrum is 204 E Superior St, Sandpoint, ID and can be reached out via phone at 208-255-5577 and via fax at 208-255-5577.

Location: 204 E Superior St, Sandpoint, ID, 83864-1275
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609045681
Provider Name
Carla Roxann Wolfrum
Credential
LD
Provider Entity Type
Individual
Gender
Female
Address
204 E Superior St, Sandpoint, ID, 83864-1275
Phone Number
208-255-5577
Fax Number
208-255-5577
Provider Enumeration Date
02/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
204 E Superior St
City
Sandpoint
State
Idaho
Zip
83864-1275
Phone Number
208-255-5577
Fax Number
208-255-5577
person
Provider Business Mailing Address Details
Address
204 E Superior St
City
Sandpoint
State
Idaho
Zip
83864-1275
Phone Number
208-255-5577
Fax Number
208-255-5577
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
LD9 (Idaho)
Definition
Definition to come.
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