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Individual

DR. ROBERT BRUCE WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3131 PRINCETON PIKE, SUITE 1A, LAWRENCEVILLE, NJ 08648-2201
(609) 394-1670
(609) 895-1166
Mailing address
3131 PRINCETON PIKE, SUITE 1A, LAWRENCEVILLE, NJ 08648-2201
(609) 394-1670
(609) 895-1166

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
1223P0700X
NJ
1223P0700X
Prosthodontics
Primary
DI012054
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DI012054
LICENSE
NJ
Enumeration date
08/16/2007
Last updated
01/28/2008
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