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Individual

ANDRES JIMENEZ WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
193 US HIGHWAY 9 STE 2C, MANALAPAN, NJ 07726-3016
(732) 409-2900
Mailing address
900 E FORT AVE APT 803, BALTIMORE, MD 21230-5510
(305) 979-8909

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
16795
MD
1223P0300X
Periodontics
Primary
22DI02877900
NJ
1223P0300X
Periodontics
DEN1002200
DC
1223P0300X
Periodontics
DS041521
PA

Other

Enumeration date
02/19/2015
Last updated
01/11/2022
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