Individual
DR. DAVID LAWRENCE WOLF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1630 32ND STREET NE, CEDAR RAPIDS, IA 52402
(319) 362-8657
(319) 362-1824
Mailing address
1630 32ND STREET NE, CEDAR RAPIDS, IA 52402
(319) 362-8657
(319) 362-1824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4870
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028647
—
IA
01
—
55941
BLUE CROSS
IA
01
—
711437
UNITED CONCORDIA
—
Enumeration date
06/15/2006
Last updated
07/08/2007
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