Individual
DR. LINDA WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 HAWKINS STORE RD NW, SUITE A-1, KENNESAW, GA 30144-6204
(770) 926-3400
(770) 926-6317
Mailing address
205 HAWKINS STORE RD NW, SUITE A-1, KENNESAW, GA 30144-6204
(770) 926-3400
(770) 926-6317
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN008821
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00157924B
—
GA
Enumeration date
01/18/2007
Last updated
07/08/2007
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