# HDP WOLFF DENTAL LLC

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

## Provider details

- **NPI number:** 1720649189
- **Authorized official:** FAITH GASKINS (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 23844 S POWER RD STE B-106, QUEEN CREEK, AZ 85142-6152
- **Practice address phone:** (480) 663-9191
- **Mailing address:** 2403 LACY LN, CARROLLTON, TX 75006-6514
- **Mailing address phone:** (972) 869-3789

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2019
- **Last updated:** 06/26/2019