Individual
DAVID WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
N6500 HAIPEK ROAD, BLACK RIVER FALLS, WI 54615-0232
(715) 284-4550
Mailing address
PO BOX 232, N6500 HAIPEK ROAD, BLACK RIVER FALLS, WI 54615-0232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019-022389
IL
122300000X
Dentist
Primary
6068-15
WI
Other
Enumeration date
11/15/2006
Last updated
05/11/2015
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