Individual
DR. BARRY WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4405 STARKEY RD STE A, ROANOKE, VA 24018-0616
(540) 772-2913
(540) 989-6623
Mailing address
3250 AVENHAM AVE SW, ROANOKE, VA 24014-1408
(540) 985-0263
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
041004587
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077257
BLUE CROSS CLUE SHIELD
VA
Enumeration date
01/24/2007
Last updated
07/08/2007
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