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Organization
WOLF AND OSBORNE, LTD
Active
Organization
WOLF AND OSBORNE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN THOMAS WOLF (PRESIDENT/GENERAL DENTIST)
(217) 875-7600
Entity
Organization
Contact information
Practice address
1353 E MOUND RD, DECATUR, IL 62526-9345
(217) 875-7600
(217) 875-7681
Mailing address
1353 E MOUND RD STE 101, DECATUR, IL 62526-3600
(217) 875-7600
(217) 875-7681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018111
IL
Other
Enumeration date
09/01/2015
Last updated
02/17/2023
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