Individual
DR. JACOB WOLKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
264 S PETERS RD, KNOXVILLE, TN 37923-5203
(865) 539-1776
Mailing address
135 OKEMA LN, LOUDON, TN 37774-3158
(205) 834-2629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11823
TN
Other
Enumeration date
06/16/2021
Last updated
06/07/2024
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