Organization · Type 2 NPI

Wolf River Dental LLC

Dental Clinic/Center · Shawano, WI

NPI number 1144684002 Active

Practice location

1040 Engel Dr
Shawano, WI 54166

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

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About NPI 1144684002

Wolf River Dental LLC's National Provider Identifier is 1144684002, issued on Apr 7, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Shawano, WI. The record was last updated on Jun 2, 2026.