Individual
PATRICK LYN WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
125 24TH ST SE, ALTOONA, IA 50009-2167
(515) 967-9790
(515) 967-1425
Mailing address
1016 ROSEWOOD DR, ALTOONA, IA 50009-2490
(515) 957-8396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08211
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481630
—
IA
Enumeration date
11/01/2006
Last updated
07/13/2020
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