Owen E Wolfgramm, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Provo, UT
- NPI
- 1336309640
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 5932574-8903 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-06-10
- Last updated
- 2008-06-10
Practice location
2476 N University Pkwy Ste 101
Provo, UT 84604-3801
(801) 373-2060