Provider Demographics
NPI:1275543548
Name:CHARNY WOLF KLEIN DISHLER
Entity Type:Organization
Organization Name:CHARNY WOLF KLEIN DISHLER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:WOLF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-675-3323
Mailing Address - Street 1:965 W COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-1001
Mailing Address - Country:US
Mailing Address - Phone:215-675-3323
Mailing Address - Fax:215-441-5715
Practice Address - Street 1:965 W COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-1001
Practice Address - Country:US
Practice Address - Phone:215-675-3323
Practice Address - Fax:215-441-5715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty