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NPI 1609045681

IndividualActive

Carla Wolfrum, LD

NPI 1609045681 · Denturist · Sandpoint, ID

Provider details

NPI number: 1609045681
Entity type: Individual
Primary specialty: DenturistDental Providers
Credential: LD
Sex: Female
Sole proprietor: Yes
License: LD9 (ID)

Practice location

204 E Superior St

Suite #9

Sandpoint, ID 83864-1275

Phone: (208) 255-5577

Fax: (208) 255-5577

More ID providers

Mailing address

204 E Superior St

Sandpoint, ID 83864-1275

Registry dates

Enumerated: 2008-02-25
Last updated: 2008-02-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Carla Wolfrum, LD — NPI 1609045681, Sandpoint, ID | NPI Central