Individual
PHILLIP JAMES WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
222 N PARK ST, OWOSSO, MI 48867-3042
(989) 725-7825
Mailing address
331 CLOVER BROOK DR, OWOSSO, MI 48867-1086
(989) 725-1210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019148
MI
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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