# CHRIS WOLBERG DDS & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548816598
- **Authorized official:** CHRISTOPHER GUST WOLBERG DDS (OWNER-PRESIDENT-DENTIST)
- **Authorized official phone:** (804) 379-9375

## Contact information

- **Practice address:** 11507 ALLECINGIE PKWY, NORTH CHESTERFIELD, VA 23235-4301
- **Practice address phone:** (804) 379-9375
- **Practice address fax:** (804) 379-3913
- **Mailing address:** 11507 ALLECINGIE PKWY, NORTH CHESTERFIELD, VA 23235-4301
- **Mailing address phone:** (804) 379-9375
- **Mailing address fax:** (804) 379-3913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2019
- **Last updated:** 08/15/2019