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Individual

DR. BRANDON WOLF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
16506 POINTE VILLAGE DR., SUITE 101, TAMPA, FL 33647
(813) 906-5668
Mailing address
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
8352
SC
122300000X
Dentist
D.007302-C
AL
122300000X
Dentist
Primary
DN28661
FL
122300000X
Dentist
DN28661.
FL
122300000X
Dentist
DS039738
PA

Other

Enumeration date
07/23/2014
Last updated
03/12/2026
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