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Individual

DAVID WOLLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
301 SE LOOP 338, ODESSA, TX 79762-9765
(432) 580-5551
Mailing address
301 SE LOOP 338, ODESSA, TX 79762-9765
(432) 580-5551

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0022634
TX

Other

Enumeration date
12/29/2006
Last updated
07/08/2007
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