Individual
DR. JONATHAN MARK WOHLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2105 NELSON ST, RICHMOND, VA 23228-5704
(804) 262-6587
(804) 740-1207
Mailing address
2105 NELSON ST, RICHMOND, VA 23228-5704
(804) 262-6587
(804) 740-1207
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401006245
VA
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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